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 (Availity)
Type: Contract
Compensation: $100/hour
Location: Remote

Role Responsibilities

• Manage and complete healthcare administrative workflows using Availity Essentials and other payer portal applications.
• Verify active coverage and determine patient cost-shares including copays and deductibles.
• Oversee the full lifecycle of claims from submission to resolution of rejections or denials.
• Handle end-to-end prior authorization processes including tracking approvals within Payer Spaces.
• Reconcile payments against clinical charges using electronic remittance advice (ERA).

Qualifications

Must-Have

• 2 years of experience with Availity Essentials or similar payer portals.
• Current role in healthcare administration.
• 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 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.