Healthcare Admin Pro: Access, Claims & Revenue Cycle

Mercor; New York (NY); On-site; USD 65,000 - 95,000; Full time

Job summary

Mercor is seeking professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running—the “back office” of a medical practice, hospital, or health plan.

Core workflows include patient access, prior authorizations, claims and revenue cycle, remittance and payment posting, provider/payer operations, and health information management. Ideal candidates have 3+ years in healthcare administration and are based in the United States.

Qualifications

• 3+ years of daily, hands-on experience in a healthcare administrative / back-office role.
• Direct experience with payer portals, EHR / practice-management platforms, and/or clearinghouses.
• Currently working in a healthcare administrative role.
• Based in the United States.

Responsibilities

• Patient Access & Front-End: registration, scheduling, insurance/eligibility verification, benefits interpretation, intake, and referral management.
• Prior Authorizations & Utilization Support: initiating, submitting, and tracking authorizations through payer portals.
• Claims & Revenue Cycle: claim submission, status tracking, denials and appeals, A/R follow-up, and resolution of rejections.
• Remittance & Payment Posting: ERA, payment posting, and reconciliation against clinical charges.
• Provider & Payer Operations: credentialing, provider enrollment, payer configuration, appeals & grievances, and member/provider services.
• Health Information & Practice Administration: medical records administration, release of information, and day-to-day practice/office operations.

Skills

Healthcare administration

Workflow optimization

Problem solving

Tools

Availity

Optum/Change Healthcare

Waystar

Office Ally

UHC Link

Job description

Mercor is seeking professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running—the “back office” of a medical practice, hospital, or health plan.

Core workflows include patient access, prior authorizations, claims and revenue cycle, remittance and payment posting, provider/payer operations, and health information management. Ideal candidates have 3+ years in healthcare administration and are based in the United States.