Remote | Healthcare Operations & Revenue Cycle Specialist — $35–$45/hour

We are sharing a specialised part-time consulting opportunity for experienced healthcare administration professionals with hands-on expertise in patient access, prior authorisation, claims, revenue cycle operations, provider enrolment, payer workflows, and medical records administration. This role focuses on documenting and evaluating the real-world administrative workflows that keep medical practices, hospitals, and health plans operating effectively. Selected professionals will contribute practical knowledge of healthcare back-office processes, including the systems, decision points, handoffs, and operational steps involved from patient registration through claims payment and ongoing payer or provider administration. Key Responsibilities Patient Access & Front-End Operations Provide detailed insight into patient registration, scheduling, intake, and referral workflows Review insurance eligibility verification and benefits interpretation processes Explain how patient information moves between administrative systems and operational teams Identify common exceptions, bottlenecks, and escalation paths within front-end healthcare operations Prior Authorisation & Utilisation Support Document workflows for initiating, submitting, and tracking prior authorisation requests Explain how payer portals and supporting documentation are used throughout the authorisation process Review common approval, denial, follow-up, and escalation scenarios Identify operational differences across payer requirements and authorisation pathways Claims & Revenue Cycle Management Describe full-cycle claim submission, tracking, denial management, and accounts receivable follow-up Review processes for resolving rejected, denied, or underpaid claims Explain appeals workflows and supporting documentation requirements Assess how administrative teams move claims from initial submission through final payment or resolution Payment, Provider & Administrative Operations Review electronic remittance advice, payment posting, and reconciliation workflows Document provider credentialing, enrolment, and payer configuration processes Explain appeals, grievances, member services, and provider-support operations where relevant Provide insight into medical records administration, release-of-information workflows, and daily practice-management activities Ideal Profile Strong candidates may have: At least 3 years of daily, hands-on experience in a healthcare administrative or back-office role Current professional experience within healthcare administration or operations Direct ownership of one or more healthcare administrative workflows Experience with patient access, prior authorisation, revenue cycle, claims, provider enrolment, or health information management Strong understanding of how healthcare administrative processes operate across multiple systems and stakeholders Excellent written communication and attention to operational detail Ability to explain complex workflows clearly and sequentially Current residence in the United States Educational Background A degree in healthcare administration, health information management, business administration, finance, or a related discipline may be helpful Professional training in revenue cycle management, medical billing, health plan operations, or practice administration may strengthen an application Relevant healthcare operations certifications may also be valuable Equivalent substantial hands-on healthcare administrative experience may be considered Nice to Have Experience as a Practice Administrator or Medical Office Manager Background as a Revenue Cycle Specialist or RCM Analyst Experience in medical billing or full-cycle billing Patient access, intake, referral, or scheduling expertise Prior authorisation experience Denials management or claims-resolution experience Credentialing or provider-enrolment experience Health plan or payer operations experience involving claims, appeals, grievances, or provider configuration Health Information Management or medical records administration experience Familiarity with Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna, or comparable payer portals Experience with EHR, practice-management, or clearinghouse platforms Why This Opportunity Apply practical healthcare operations expertise to advanced research and evaluation work Contribute knowledge from real-world administrative workflows Work across patient access, authorisations, claims, revenue cycle, payer operations, and health information management Help improve how complex healthcare back-office processes are represented and understood Participate in flexible remote work with competitive hourly compensation Contract Details Independent contractor role Fully remote within the United States Competitive rates between $35–$45 per hour depending on experience and project scope Current hands-on healthcare administrative experience is required Work may involve documenting, reviewing, or evaluating healthcare operational workflows and systems Weekly payments via Stripe or Wise Projects may be extended, shortened, or adjusted depending on scope and performance This opportunity focuses on healthcare administrative and operational expertise rather than clinical care or medical coding Work will not involve access to confidential or proprietary information from any employer, client, or institution About the Platform This opportunity is available through 24-MAG LLC. 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