[Hiring] Healthcare Administrative Specialist @Mercor

Role Description

• Evaluate and improve administrative workflows in healthcare settings, focusing on patient access and front-end operations.
• Design efficient processes for prior authorizations and utilization support using real-world tools.
• Review and manage claims and revenue cycle activities, ensuring timely submission and resolution.
• Develop strategies for remittance and payment posting to align with clinical charges.
• Collaborate with provider and payer operations to enhance credentialing and enrollment processes.
• Work independently and asynchronously to optimize health information management and practice administration.

Qualifications

• Must-Have:
• 3+ years of daily, hands-on experience in a healthcare administrative/back-office role.
• Direct experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna).
• Experience with EHR/practice-management platforms and/or clearinghouses.
• Currently working in a healthcare administrative role.
• Based in the United States.
• Preferred:
• Background as a Practice Administrator, Medical Office Manager, or Revenue Cycle Specialist.
• Experience as a Medical Billing Coordinator, Full-Cycle Biller, or Patient Access Lead.
• Skills as a Prior Authorization Specialist or Denials/Claims Resolution Specialist.
• Expertise in Credentialing, Provider Enrollment, or Health Plan/Payer Operations.
• Knowledge in Health Information Management or Medical Records administration.

Company Description

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.