Healthcare Administrative Specialist

Overview

We are looking for skilled healthcare administrative specialists with extensive practical experience in managing the operational and back-office tasks vital to the smooth functioning of healthcare organizations. This remote, part-time role suits professionals who are well-versed in the entire administrative lifecycle, including patient registration, insurance verification, claims processing, provider enrollment, and payment reconciliation.

Key Responsibilities

• Manage patient access and front-end operations such as registration, scheduling, and handling referrals.
• Conduct insurance eligibility checks and interpret benefit details accurately.
• Handle prior authorization requests by submitting and tracking them with insurers to ensure timely approvals.
• Administer claims submission, monitor claim statuses, resolve denials and appeals, and follow up on accounts receivable.
• Process electronic remittance advice (ERA), post payments accurately, and reconcile financial transactions with clinical billing.
• Manage provider credentialing and enrollment, support payer setups, and assist with provider and member service issues, including appeals and grievances.
• Oversee medical records administration, release of information requests, and support day-to-day medical office operations ensuring compliance with policies.

Required Qualifications

• At least three years of direct experience in healthcare administrative or back-office roles.
• Currently employed in a healthcare administrative setting.
• Proficient with key industry tools: payer portals (e.g., Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna), electronic health record (EHR) and practice management platforms, and healthcare clearinghouse systems.
• Located within the United States.
• Strong analytical skills, effective organization, and clear communication abilities.
• Capable of accurately documenting and analyzing operational workflows.

Preferred Professional Backgrounds

• Practice Administrator, Medical Office Manager, Revenue Cycle Specialist, or Analyst.
• Medical Billing Coordinator, Full-Cycle Medical Biller, Patient Access or Intake Coordinator, Referral Coordinator.
• Prior Authorization or Claims Resolution Specialist, Denials Management Expert.
• Credentialing or Provider Enrollment Specialist.
• Health Plan Operations, Payer Operations, Appeals & Grievances Specialists.
• Provider Configuration Specialist, Health Information Management Professional, Medical Records Administrator.

Note: This role emphasizes healthcare administrative and operational knowledge rather than clinical care or medical coding.

Why Join

• Help design advanced AI-driven healthcare administrative tools by leveraging your operational expertise.
• Impact intelligent healthcare workflows with your real-world knowledge.
• Enjoy flexible remote work arrangements.
• Collaborate on innovative projects combining healthcare operations and AI technology.

Additional Information

• The position is an independent contractor role.
• Work is fully remote with flexible scheduling according to your availability.
• Project length may vary depending on needs and performance.
• No requirement to access proprietary or confidential information from current employers or clients.
• Compensation ranges between $40 and $50 per hour.
• Payments are made weekly via Stripe or Wise upon approval of completed work.
• Applicants requiring H-1B sponsorship or those on STEM OPT are not eligible.
• Equal opportunity employer, providing reasonable accommodations during application and engagement processes.