Healthcare Administrative Specialist

Location: Remote

Engagement Type: Hourly Contract

Compensation: $40–$50/hour

About the Opportunity

This opportunity is for experienced Healthcare Administrative and Operations professionals with hands-on expertise in the back-office workflows that support medical practices, hospitals, and health plans. The role focuses on applying real-world healthcare administrative experience across patient access, prior authorizations, claims, revenue cycle operations, provider enrollment, payer operations, and health information management. This is a healthcare administrative and operational role — not a medical coding or clinical care position.

Key Responsibilities

• Manage and evaluate patient registration, scheduling, insurance eligibility verification, benefits interpretation, intake, and referral workflows.
• Support prior authorization processes, including initiating, submitting, tracking, and resolving authorization requests through payer portals.
• Handle claims and revenue cycle workflows, including claim submission, status tracking, denials, appeals, A/R follow-up, and rejection resolution.
• Review remittance and payment workflows, including Electronic Remittance Advice (ERA), payment posting, and reconciliation.
• Support provider and payer operations, including credentialing, provider enrollment, payer configuration, appeals, grievances, and member/provider services.
• Manage health information workflows, medical records administration, release of information, and day-to-day practice operations.
• Apply hands-on knowledge of healthcare systems and administrative workflows to support high-quality project outcomes.