Healthcare Workflow Specialist - Availity

Job Description

Job Description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Position: Healthcare Administrative Workflow Specialist (Availity)
Type: Contract
Compensation: $100/hour
Location: Remote

Role Responsibilities

• Manage and complete healthcare administrative workflows using Availity Essentials and other payer portal applications.
• Verify active coverage and determine patient cost-shares, including copays and deductibles.
• Oversee the full lifecycle of claims, from submission to resolution of rejections or denials.
• Handle end-to-end prior authorization processes, including tracking approvals within Payer Spaces .
• Reconcile payments against clinical charges using electronic remittance advice (ERA).

Qualifications

Must-Have

• 2+ years of experience with Availity Essentials or similar payer portals.
• Current role in healthcare administration.
• Experience with Revenue Cycle, Payer Portals, or Clearinghouse Management.
• Based in the United States.

Preferred

• Background as a Practice Administrator, Medical Office Manager, or Revenue Cycle Specialist.
• Experience as a Medical Billing Coordinator or Claims Resolution Specialist.

Application Process (Takes 20–30 mins to complete)

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

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• For any help or support, reach out to: View email address on ziprecruiter.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.