30 ago
|
Synthires
|
Valencia
30 ago
Synthires
Valencia
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
📌 Medical Operations Specialist (Valencia)
🏢 Synthires
📍 Valencia