Hirely
Healthcare Operations & Revenue Cycle Expert | $50/hr
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Job Opportunity: Healthcare Operations & Revenue Cycle Expert
Hirely is recruiting on behalf of one of our hiring partners for a remote Healthcare Operations & Revenue Cycle Expert opportunity supporting AI research and training projects.
What You’ll Do:
- Design realistic healthcare administration and operations scenarios to evaluate AI systems.
- Create and evaluate tasks involving medical coding, claims and billing, prior authorization, utilization management, revenue cycle operations, and healthcare compliance.
- Develop complex scenarios based on real-world healthcare workflows and operational challenges.
- Create supporting records, reference outputs, and evaluation criteria that reflect professional healthcare judgment.
- Work on areas such as denials and appeals, A/R follow-up, payment and revenue integrity, coding audits, DRG validation, CDI, payer operations, and reimbursement.
- Apply your practical experience to help distinguish expert-level healthcare operations decisions from generic AI responses.
Who We’re Looking For:
- 3+ years of recent, hands-on experience in healthcare administration, operations, medical coding, billing, claims, revenue cycle, utilization management, or a related back-office function.
- Currently working in a relevant healthcare operations role.
- Experience with healthcare systems such as EHR/practice-management platforms, payer portals, clearinghouses, coding tools, or billing systems.
- Strong candidates may have experience handling appeals, payer disputes, coding audits, denials, reimbursement issues, or healthcare workflow implementations.
- Experience across multiple healthcare settings or both provider- and payer-side operations is a plus.
- Strong analytical, written communication, and problem-solving skills.
- Ability to commit 15+ hours per week.
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Compensation & Commitment:
- $50/hour
- Fully remote
- Independent contractor
- Flexible schedule
- 15+ hours per week
- Weekly payments
Eligible Locations:
Candidates may be considered from the United States, Canada, United Kingdom, Ireland, Australia, New Zealand, and eligible European countries listed by the hiring partner. Candidates outside the US should have experience with their own country's healthcare, insurance, funding, or billing system. US healthcare experience is a plus but is not required.
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Not a Fit For:
This opportunity is focused on healthcare administrative and operational expertise, not clinical care. Clinical-only roles such as physicians, nurses, pharmacists, EMTs, medical technicians, medical scribes, receptionists, and appointment-scheduling roles are not the target profile.
Application Process:
Qualified candidates may go through resume screening, an AI interview or assessment, and hiring partner review before onboarding.
About Hirely:
Hirely connects qualified professionals with remote opportunities through hiring partners across Artificial Intelligence, Healthcare, Finance, Software Engineering, Data Science, and other specialist fields. Final hiring decisions, onboarding, compensation, and project assignments are determined by the hiring partner.
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