Remote Healthcare Administrative Specialist (AI Evaluator) — $40-$50/hr
Talent Wall · United States · 1 wk ago
RemoteRemoteHealthcare$40–$50/hrContract
Compensation & Structure
- Rate: $40 - $50 USD per hour.
- Format: 100% Remote, independent contractor role.
- Payments: Processed weekly via Stripe or Wise based on services rendered.
Core Workflows
- Patient Access & Front-End: Registration, scheduling, eligibility verification, intake, and referral management.
- Prior Authorizations: Initiating, submitting, and tracking authorizations through payer portals.
- Claims & Revenue Cycle (RCM): Claim submission, denials/appeals, A/R follow-up, and rejection resolution.
- Remittance & Payment: ERA posting, and reconciliation against clinical charges.
- Payer Operations & HIM: Provider enrollment, credentialing, medical records administration, and day-to-day practice operations.
Strict Eligibility Requirements
- Operational Location: Must be currently based in the United States 🇺🇸.
- Current Status: Must be currently working in a healthcare administrative/back-office role. (Note: We are not looking for medical coding or clinical care roles).
- Experience: 3+ years of daily, hands-on experience in healthcare administration (e.g., Practice Manager, RCM Analyst, Billing Coordinator, Prior Auth Specialist).
- System Mastery: Direct, hands-on experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS) or EHR/Practice Management platforms.
- Contractual Restrictions: We are unable to support H1-B or STEM OPT candidates at this time.