Healthcare Administration Specialist (Remote, Contract)

About the Role

This position offers an excellent opportunity for experienced healthcare administrative and operations professionals to support various back-office functions of medical practices, hospitals, and health plans. The role is focused on hands-on implementation of workflows related to patient access, prior authorizations, claims management, revenue cycle processes, provider enrollment, payer operations, and management of health information systems. It is important to note that this is strictly an administrative and operations role rather than a clinical or medical coding position.

Key Responsibilities

• Oversee and assess patient registration, appointment scheduling, insurance eligibility verification, benefits explanation, patient intake, and referral procedures.
• Assist with prior authorization workflows by initiating, submitting, monitoring, and resolving authorization requests using payer portals.
• Manage claims processing and revenue cycle activities including claim filing, status updates, handling denials, filing appeals, follow-up on accounts receivable, and correcting rejections.
• Review remittance and payment tasks involving Electronic Remittance Advice (ERA), payment application, and reconciliation efforts.
• Support operations related to providers and payers, such as credentialing, provider enrollment, payer setup, appeals, grievance handling, and member/provider services.
• Manage health information processes including medical records administration, release of information requests, and daily practice management activities.
• Leverage extensive knowledge of healthcare systems and administrative processes to contribute positively to project outcomes.

Required Qualifications

• Minimum of three years of active experience in healthcare administration, operations, or related back-office roles.
• Current employment in a healthcare administrative position.
• Practical experience using healthcare administrative technologies like payer portals, electronic health record (EHR), practice management software, or clearinghouse systems.
• Familiarity with platforms such as Availity, Optum/Change Healthcare, Waystar, Office Ally, UnitedHealthcare Link, Blue Cross Blue Shield, Aetna, or similar payer systems.
• Comprehensive understanding of healthcare administrative workflows, proper documentation, and operational procedures.
• Excellent detail orientation, problem-solving capabilities, and strong written communication skills.
• Requirement to be based in the United States.

Preferred Professional Backgrounds

• Practice Administrator or Medical Office Manager
• Revenue Cycle Specialist or RCM Analyst
• Medical Billing Coordinator or Full-Cycle Biller
• Patient Access Lead, Intake, or Referral Coordinator
• Prior Authorization Specialist
• Denials and Claims Resolution Specialist
• Credentialing or Provider Enrollment Specialist
• Health Plan or Payer Operations Specialist
• Health Information Management or Medical Records Administrator

Compensation and Engagement Details

• Competitive hourly pay ranging from $40 to $50.
• Payments processed weekly.
• Engagement as an independent contractor.