Healthcare Administration Specialist - Expert

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

About the Role

We're looking for 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. This spans the full administrative lifecycle: getting patients registered and covered, securing authorizations, moving claims through to payment, managing provider and payer relationships, and keeping records and compliance in order. You'll help us understand the precise steps these workflows take in the real tools you use every day.

Core Workflows (you should actively own one or more)

• 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: electronic remittance advice (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

Requirements

• 3+ years of daily, hands‑on experience in a healthcare administrative / back-office role

• Direct experience with the systems this work runs on — payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna), EHR / practice-management platforms, and/or clearinghouses

• Currently working in a healthcare administrative role

• 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 / Referral Coordinator

• Prior Authorization Specialist

• Denials / Claims Resolution Specialist

• Credentialing / Provider Enrollment Specialist

• Health Plan / Payer Operations (claims, appeals & grievances, provider configuration)

• Health Information Management (HIM) / Medical Records administrator

Note: We are looking for administrative and operational workflow expertise across healthcare — not medical coding or clinical care roles.