Overview
Healthcare Revenue Cycle Specialist Jobs in United States at Crossing Hurdles
Title: Healthcare Revenue Cycle Specialist
Company: Crossing Hurdles
Location: United States
Role Overview
We're seeking professionals with deep, hands-on experience navigating healthcare administrative workflows across major payer portals. You'll contribute expertise in insurance-related tasks, data reconciliation, and end-to-end revenue cycle processes.
What You Will Be Doing
- Verify active coverage, determine patient cost-shares, and interpret plan-specific benefits limitations
- Manage the full claims lifecycle submission, status tracking, and denial or rejection resolution
- Handle end-to-end prior authorization requests, from initial submission through approval tracking
- Process electronic remittance advice (ERA) and reconcile payments against clinical charges
- Document and communicate precise workflow steps across payer portal environments
Who We Are Looking For
- Hands-on daily experience with Availity Essentials or comparable payer portals (Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna, etc.)
- Currently active in a healthcare administrative role Revenue Cycle, Payer Portals, or Clearinghouse Management
- Backgrounds such as Practice Administrator, RCM Specialist, Medical Billing Coordinator, Claims Resolution Specialist, or Patient Access Lead are strongly aligned
- Ability to articulate step-by-step administrative workflows clearly and precisely
- Administrative workflow expertise required medical coding or clinical backgrounds are out of scope for this role
Role Details
Compensation: $100/hour
Work Style: Remote
Duration: Hourly contract; project-based with potential for extension
How To Apply
- Click Easy Apply to proceed
- Shortlisted candidates will be contacted with next steps