Medical Operations Specialist (España)

Medical Operations Specialist (España)

30 ago
|
Synthires
|
España

30 ago

Synthires

España

Healthcare Administrative Specialist

Location: Remote (United States)

Engagement Type: Hourly Contract

Compensation: $40–$50/hour

About the Opportunity
This opportunity is for experienced Healthcare Administrative and Operations professionals with hands-on expertise in the back-office workflows that support medical practices, hospitals, and health plans.
The role focuses on applying real-world healthcare administrative experience across patient access, prior authorizations, claims, revenue cycle operations, provider enrollment, payer operations, and health information management.
This is a healthcare administrative and operational role — not a medical coding or clinical care position.
Key Responsibilities
Manage and evaluate patient registration, scheduling, insurance eligibility verification, benefits interpretation, intake, and referral workflows.
Support prior authorization processes, including initiating, submitting, tracking, and resolving authorization requests through payer portals.
Handle claims and revenue cycle workflows, including claim submission,



status tracking, denials, appeals, A/R follow-up, and rejection resolution.
Review remittance and payment workflows, including Electronic Remittance Advice (ERA), payment posting, and reconciliation.
Support provider and payer operations, including credentialing, provider enrollment, payer configuration, appeals, grievances, and member/provider services.
Manage health information workflows, medical records administration, release of information, and day-to-day practice operations.
Apply hands-on knowledge of healthcare systems and administrative workflows to support high-quality project outcomes.
Required Qualifications
3+ years of daily, hands-on experience in a healthcare administrative, operational, or back-office role.
Currently working in a healthcare administrative role.
Direct experience with healthcare administrative systems, including payer portals, EHR/practice-management platforms, and/or clearin

📌 Medical Operations Specialist (España)
🏢 Synthires
📍 España

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