Healthcare Administrative Specialist

Operate at the center of healthcare operations, mapping and executing the administrative workflows that keep practices, hospitals, and health plans running. You will document and demonstrate the exact steps these back-office processes require in the actual payer portals, EHR or practice-management systems, and clearinghouses you use every day.

You should actively own one or more of the workflows below and provide hands-on, tool-level detail about how tasks are completed.

• Patient Access and Front-End: registration, scheduling, insurance and eligibility verification, benefits interpretation, patient intake, and referral management
• Prior Authorizations and Utilization Support: initiating, submitting, and tracking authorizations through payer portals
• Claims and Revenue Cycle: claim submission, status tracking, denials and appeals, accounts receivable follow-up, and resolving rejections
• Remittance and Payment Posting: electronic remittance advice processing, payment posting, and reconciliation against clinical charges
• Provider and Payer Operations: credentialing, provider enrollment, payer configuration, appeals and grievances, and member and provider services
• Health Information and Practice Administration: medical records administration, release of information, and daily practice or office operations

• Minimum 3 years of daily, hands-on experience in a healthcare administrative or back-office role
• Direct, practical experience using the systems that support this work, for example payer portals such as Availity, Optum or Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna, and experience with EHR or practice-management platforms or clearinghouses
• Currently employed in a healthcare administrative role
• Ability to describe and demonstrate the exact steps taken within the real tools you use

Ideal backgrounds include

• 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 or Claims Resolution Specialist
• Credentialing or Provider Enrollment Specialist
• Health Plan or Payer Operations roles, including claims, appeals and grievances, and provider configuration
• Health Information Management or Medical Records administrator

• Location: Remote
• Employment type: hourly

• $40.00 to $50.00 per hour

• Must be based in the United States
• Must be currently working in a healthcare administrative capacity
• This role seeks administrative and operational workflow expertise, not medical coding or clinical care positions