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 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. Adecuado 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. Application Process - Easy Apply on LinkedIn - Check Email for Next Steps - Participate in Resume Evaluation & Interview Stage

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