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Mercor
Remote Healthcare Administrative Workflow Specialist (Availity) - AI Trainer ($100-$100 per hour)Mercor • Abilene, Texas, US
Remote Healthcare Administrative Workflow Specialist (Availity) - AI Trainer ($100-$100 per hour)

Remote Healthcare Administrative Workflow Specialist (Availity) - AI Trainer ($100-$100 per hour)

Mercor • Abilene, Texas, US
9 days ago
Job type
  • Full-time
  • Remote
Job description
  • About the Role We're looking for professionals with deep, hands-on experience navigating healthcare administrative workflows within Availity Essentials and other major payer portal applications. You'll help us understand the precise steps required to complete insurance-related tasks, resolve data discrepancies, and manage end-to-end administrative processes. Core Workflows You should actively manage and complete one or more of the following : - Eligibility & Benefits : Verifying active coverage, determining patient cost-shares (copays / deductibles), and interpreting plan-specific limitations - Claims Management : Full lifecycle of a claim — submission, status tracking, and resolution of rejections or denials - Prior Authorizations : End-to-end authorization process, from initial request submission to tracking approvals within Payer Spaces - Remittance & Payment Posting : Handling electronic remittance advice (ERA) and reconciling payments against clinical charges Requirements - 2+ years of daily, hands-on experience with Availity Essentials or similar payer portals (Optum / Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna) - Currently working in a healthcare administrative role - Experience with Revenue Cycle, Payer Portals, or Clearinghouse Management - Based in the United States Ideal Backgrounds - Practice Administrator / Medical Office Manager - Revenue Cycle Specialist / RCM Analyst - Medical Billing Coordinator / Full-Cycle Biller - Patient Access Lead / Intake Coordinator - Claims Resolution Specialist Note : We are specifically looking for administrative workflow expertise — not medical coding or clinical roles.
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Remote Healthcare Administrative Workflow Specialist (Availity) - AI Trainer ($100-$100 per hour) • Abilene, Texas, US

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