Medical Operations Specialist (Remote | $50/hr) (Castro Caldelas)

Medical Operations Specialist (Remote | $50/hr) (Castro Caldelas)

31 ago
|
Synthires
|
Castro Caldelas

31 ago

Synthires

Castro Caldelas

Healthcare Administrative Specialist

Para una comprensión completa de esta posibilidad y de lo que se requerirá para ser un candidato exitoso, siga leyendo.

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 clearinghouses .

Experience with platforms such as Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna , or comparable payer systems.

Strong understanding of healthcare administrative workflows, documentation, and operational processes.

Excellent attention to detail, problem-solving, and written communication skills.

Must be based in the United States.

Ideal Backgrounds

Relevant professional backgrounds may include:

Practice Administrator / Medical Office Manager

Revenue Cycle Specialist / RCM Analyst

Medical Billing Coordinator / Full-Cycle Biller

Patient Access Lead / Intake / Referral Coordinator

Prior Authorization Specialist

Denials / Claims Resolution Specialist

Credentialing / Provider Enrollment Specialist

Health Plan / Payer Operations Specialist

Health Information Management (HIM) / Medical Records Administrator

Compensation

Competitive compensation of $40–$50/hour.

Weekly payments.

Independent contractor engagement. xiphteb

Application Process

Easy Apply on LinkedIn

Check Email for Next Steps

Participate in Resume Evaluation & Interview Stage

Hay opciones de teletrabajo/trabajo desde casa disponibles para este puesto.

📌 Medical Operations Specialist (Remote | $50/hr) (Castro Caldelas)
🏢 Synthires
📍 Castro Caldelas

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