Support and document the administrative operations that keep medical practices, hospitals, and health plans running. You will map and explain the exact steps of front-office, revenue cycle, authorization, payer, and health information workflows as they happen in the real systems you use every day.

• Capture and explain end to end administrative workflows in the live tools you use, showing the exact sequence of actions and decision points in payer portals, EHRs, practice management systems, and clearinghouses.
• Actively own one or more of the following administrative domains, performing day to day tasks and documenting standard procedures:
• Patient Access and Front End , including registration, scheduling, insurance and eligibility verification, benefits interpretation, patient intake, and referral management
• Prior Authorizations and Utilization Support , including initiating, submitting, and tracking prior authorizations through payer portals
• Claims and Revenue Cycle , including claim submission, status tracking, handling denials and appeals, A/R follow up, and resolving rejections
• Remittance and Payment Posting , including processing electronic remittance advice, payment posting, and reconciling payments against clinical charges
• Provider and Payer Operations , including credentialing, provider enrollment, payer configuration, appeals and grievances, and member or provider service workflows
• Health Information and Practice Administration , including medical records administration, release of information, and daily practice or office operations
• Provide clear, reproducible explanations of how tasks are completed in the specific systems your team uses, so others can follow or validate the steps.

• Minimum 3 years of daily, hands on experience in healthcare administrative or back office roles
• Current employment in a healthcare administrative role, with routine performance of the workflows you will document
• Direct, practical experience using the systems that run this work, such as payer portals and hubs, for example Availity, Optum or Change Healthcare, Waystar, Office Ally, or individual payer portals like UHC Link, BCBS portals, Aetna; and experience with EHR or practice management platforms and/or clearinghouses
• Ability to demonstrate specific, tool level steps for the workflows you own

• Practice Administrator, Medical Office Manager
• Revenue Cycle Specialist, RCM Analyst
• Medical Billing Coordinator, Full Cycle Biller
• Patient Access Lead, Intake or Referral Coordinator
• Prior Authorization Specialist
• Denials or Claims Resolution Specialist
• Credentialing or Provider Enrollment Specialist
• Health Plan or Payer Operations roles, including claims, appeals and provider configuration
• Health Information Management or Medical Records Administrator

Remote role, hourly employment. Candidates must be based in the United States.

Pay range is 40 to 50 hourly.

• Must be currently working in a U.S. healthcare administrative role and able to show active ownership of one or more of the listed workflows
• This position focuses on administrative and operational workflows, not on medical coding or clinical care functions