Role Overview
We're seeking professionals with deep, hands-on experience navigating healthcare administrative workflows across major payer portals. You'll contribute expertise in insurance-related tasks, data reconciliation, and end-to-end revenue cycle processes.
What You Will Be Doing
- Verify active coverage, determine patient cost-shares, and interpret plan-specific benefits limitations
- Manage the full claims lifecycle, including submission, status tracking, and denial or rejection resolution
- Handle end-to-end prior authorization requests, from initial submission through approval tracking
- Process electronic remittance advice (ERA) and reconcile payments against clinical charges
- Document and communicate precise workflow steps across payer portal environments
Role Details
- Compensation: $100/hour
- Work Style: Remote
- Duration: Hourly contract with project-based work and potential for extension
- How to Apply: Click Easy Apply to proceed
- Shortlisted candidates will be contacted with next steps
Requirements & Qualifications
Who We Are Looking For
- Hands-on daily experience with Availity Essentials or comparable payer portals (Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna, etc.)
- Currently active in a healthcare administrative role such as Revenue Cycle, Payer Portals, or Clearinghouse Management
- Backgrounds such as Practice Administrator, RCM Specialist, Medical Billing Coordinator, Claims Resolution Specialist, or Patient Access Lead are strongly aligned
- Ability to articulate step-by-step administrative workflows clearly and precisely
- Administrative workflow expertise required; medical coding or clinical backgrounds are out of scope for this role
Location
N/A
Employment Type
Contractor
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago