31 ago
|
Synthires
|
Chamartín
31 ago
Synthires
Chamartín
Healthcare Administrative Specialist
¿Tiene lo que se necesita para triunfar? La siguiente información debe ser leída atentamente por todos los candidatos.
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 experie
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