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. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams.
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