Healthcare Administrative Operations Specialist

Apply your hands-on healthcare operations expertise to clarify how essential administrative workflows are performed in the tools used by medical practices, hospitals, and health plans. This role focuses on the operational work behind patient access, coverage, authorizations, claims, payments, provider and payer coordination, records, and practice administration.

• Document and explain the precise steps involved in the healthcare administrative workflows you manage using day-to-day systems and tools.
• Actively own one or more workflow areas, including patient registration, scheduling, eligibility and insurance verification, benefits interpretation, intake, referral management, prior authorization submission and tracking, claims processing, denial and appeal resolution, accounts receivable follow-up, payment posting, remittance reconciliation, credentialing, provider enrollment, payer configuration, appeals and grievances, member or provider services, medical records, release of information, or office operations.

• At least 3 years of daily, hands-on experience in a healthcare administrative or back-office role.
• Current employment in a healthcare administrative role.
• Direct experience with payer portals, EHR or practice-management platforms, and/or clearinghouses.
• Experience with tools such as Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna, or other individual payer portals is relevant.

• Practice Administrator or Medical Office Manager.
• Revenue Cycle Specialist or RCM Analyst.
• Medical Billing Coordinator or Full-Cycle Biller.
• Patient Access Lead, Intake Coordinator, or Referral Coordinator.
• Prior Authorization Specialist.
• Denials or Claims Resolution Specialist.
• Credentialing or Provider Enrollment Specialist.
• Health plan or payer operations professional with claims, appeals and grievances, or provider configuration experience.
• Health Information Management or Medical Records Administrator.

• Remote, hourly engagement.

• $40 to $50 per hour.

• Must be based in the United States.
• This opportunity is for healthcare administrative and operational workflow expertise, not medical coding or clinical care roles.