Healthcare Workflow Specialist Availity

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 DAngelo 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 benefits 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 2030 mins to complete)

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

Resources & Support

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