01 Aug
|
Synthires
|
Canada
Healthcare Administrative Specialist
Location: Remote (United States)
Engagement Type: Hourly Contract
Compensation: $40–$50/hour
About the Prospect
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.
Required Qualifications
- 3+ years of daily, hands-on experience in a healthcare administrative, operational, or back-office role.
- Currently working in a healthcare administrative role.
- Direct experience with healthcare administrative systems, including payer portals, EHR/practice-management platforms, and/or clearinghouses .
- Experience with platforms such as Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna , or comparable payer systems.
- Strong understanding of healthcare administrative workflows, documentation, and operational processes.
- Excellent attention to detail, problem-solving, and written communication skills.
- Must be based in the United States.
Ideal Backgrounds Relevant professional backgrounds may include:
- Practice Administrator / Medical Office Manager
- Revenue Cycle Specialist / RCM Analyst
- Medical Billing Coordinator / Full-Cycle Biller
- Patient Access Lead / Intake / Referral Coordinator
- Prior Authorization Specialist
- Denials / Claims Resolution Specialist
- Credentialing / Provider Enrollment Specialist
- Health Plan / Payer Operations Specialist
- Health Information Management (HIM) / Medical Records Administrator
Compensation
- Competitive compensation of $40–$50/hour.
- Weekly payments.
- Independent contractor engagement.
Application Process
1. Easy Apply on LinkedIn
2. Check Email for Next Steps
3. Participate in Resume Evaluation & Interview Stage
📌 Healthcare Administration Specialist (Remote | ) (Canada)
🏢 Synthires
📍 Canada