Remote Healthcare Administrative Specialist

October 5, 2026

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Description

This role is for one of our clients

Compensation: $40 - $50 per hour

We are seeking experienced healthcare administrative professionals with deep, hands-on expertise in the operational and back-office functions that keep healthcare organizations running efficiently. This fully remote opportunity is ideal for individuals who understand the complete administrative lifecycle of healthcare operations—from patient registration and insurance verification to claims management, provider enrollment, and payment reconciliation.

In this role, you'll contribute your real-world expertise to support the development of next-generation AI systems by documenting, evaluating, and improving complex healthcare administrative workflows. Your knowledge of day-to-day operations and industry-standard tools will help build AI solutions that accurately reflect real healthcare environments.

Requirements

Key Responsibilities

Core Workflow Areas

Candidates should have hands-on ownership of one or more of the following operational functions:

Patient Access & Front-End Operations

Manage patient registration, scheduling, and appointment coordination.
Perform insurance eligibility verification and benefits interpretation.
Oversee patient intake and referral management processes.

Prior Authorization & Utilization Management

Initiate, submit, and monitor prior authorization requests through payer portals.
Coordinate with providers and insurance companies to ensure timely approvals.

Claims & Revenue Cycle Management

Submit insurance claims and monitor claim status.
Investigate denials, manage appeals, and resolve claim rejections.
Conduct accounts receivable follow-up to ensure timely reimbursement.

Remittance & Payment Processing

Process Electronic Remittance Advice (ERA).
Post payments accurately and reconcile remittances with clinical charges.
Assist in payment reconciliation and financial reporting activities.

Provider & Payer Operations

Manage provider credentialing and enrollment activities.
Support payer configuration and maintenance.
Handle provider and member services, appeals, and grievance processes.

Health Information & Practice Administration

Administer medical records and release of information requests.
Support daily medical office and practice administration activities.
Ensure documentation and operational processes remain compliant with organizational policies.

Required Qualifications

Minimum 3 years of hands-on experience in a healthcare administrative or back-office operations role.
Current employment within a healthcare administrative environment.
Strong working knowledge of industry-standard systems, including:

Payer portals such as Availity, Optum/Change Healthcare, Waystar, Office Ally, or payer-specific portals including UHC Link, BCBS, and Aetna.
Electronic Health Record (EHR) and Practice Management systems.
Healthcare clearinghouse platforms.

Based in the United States.
Strong analytical, organizational, and communication skills.
Ability to accurately document and explain operational workflows.

Ideal Backgrounds

Candidates with experience in any of the following roles are encouraged to apply:

Practice Administrator
Medical Office Manager
Revenue Cycle Specialist
Revenue Cycle Analyst
Medical Billing Coordinator
Full-Cycle Medical Biller
Patient Access Lead
Patient Intake Coordinator
Referral Coordinator
Prior Authorization Specialist
Claims Resolution Specialist
Denials Management Specialist
Credentialing Specialist
Provider Enrollment Specialist
Health Plan Operations Professional
Payer Operations Specialist
Appeals & Grievances Specialist
Provider Configuration Specialist
Health Information Management (HIM) Professional
Medical Records Administrator

Note: This opportunity focuses on healthcare administrative and operational expertise rather than medical coding or direct clinical care experience.

Why Join

Contribute to the development of next-generation AI solutions for healthcare administration.
Apply your real-world operational expertise to improve intelligent healthcare workflows.
Work remotely with a flexible schedule.
Collaborate on innovative projects that combine healthcare operations with advanced AI technology.

Equal Opportunity

We welcome applications from all qualified candidates regardless of legally protected characteristics and are committed to providing reasonable accommodations throughout the application and engagement process upon request.

Contract & Payment Terms

Engagement is offered on an independent contractor basis.
This is a fully remote opportunity that can be completed according to your own schedule.
Project duration may be extended, shortened, or concluded based on project requirements and individual performance.
The engagement does not require access to confidential or proprietary information belonging to any current employer, client, or institution.
Payments are processed weekly through Stripe or Wise based on approved work completed.
Please note: Applicants requiring H-1B sponsorship or participating in the STEM OPT program are not eligible for this opportunity.

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