Healthcare Workflow Specialist - Availity (Toronto)

Healthcare Workflow Specialist - Availity (Toronto)

16 Oct
|
Mercor
|
Toronto

16 Oct

Mercor

Toronto

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Position: Healthcare Administrative Workflow Specialist

Type: Contract

Compensation: $200/hour

Location: Remote

Role Responsibilities

- Manage and complete healthcare administrative workflows using Availity Essentials and other major payer portals.
- Evaluate and verify eligibility and perks to determine patient cost-shares and interpret plan-specific limitations.
- Oversee the full lifecycle of claims management , from submission to resolution of rejections or denials.
- Handle prior authorizations from initial request submission to tracking approvals within Payer Spaces.
- Reconcile payments by managing remittance and payment posting against clinical charges.
- Work independently and asynchronously to manage end-to-end administrative processes.

Qualifications

Must-Have





- 2+ years of daily, hands-on experience with Availity Essentials or similar payer portals.
- Current experience in a healthcare administrative role.
- Experience with Revenue Cycle, Payer Portals, or Clearinghouse Management.
- Based in the United States.

Preferred

- Background as a Practice Administrator, Medical Office Manager, or Revenue Cycle Specialist.
- Experience as a Medical Billing Coordinator, Patient Access Lead, or Claims Resolution Specialist.

Application Process (Takes 20–30 mins to complete)

- Upload resume
- AI interview based on your resume
- Submit form

Resources & Support

- For details about the interview process and platform information, please check:
- For any help or support, reach out to: [email protected]

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

📌 Healthcare Workflow Specialist - Availity (Toronto)
🏢 Mercor
📍 Toronto

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