Healthcare Administrative Specialist

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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 administrativ

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