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Healthcare Administrative Workflow Specialist (Availity)

Mercor Remote, USA

Education

Any

Type

hourly

Pay Rate

$100/hr

Listed

75d ago

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Mercor: our referral track record

We've referred 556 candidates to Mercor roles. 5% (29) were placed.

About this Role

From the Mercor listing

About the Role

We're looking for professionals with deep, hands-on experience navigating healthcare administrative workflows within Availity Essentials and other major payer portal applications. You'll help us understand the precise steps required to complete insurance-related tasks, resolve data discrepancies, and manage end-to-end administrative processes.

  • Eligibility & Benefits: Verifying active coverage, determining patient cost-shares (copays/deductibles), and interpreting plan-specific limitations
  • Claims Management: Full lifecycle of a claim — submission, status tracking, and resolution of rejections or denials
  • Prior Authorizations: End-to-end authorization process, from initial request submission to tracking approvals within Payer Spaces
  • Remittance & Payment Posting: Handling electronic remittance advice (ERA) and reconciling payments against clinical charges
  • 2+ years of daily, hands-on experience with Availity Essentials or similar payer portals (Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna)
  • Currently working in a healthcare administrative role
  • Experience with Revenue Cycle, Payer Portals, or Clearinghouse Management
  • Based in the United States
  • Practice Administrator / Medical Office Manager
  • Revenue Cycle Specialist / RCM Analyst
  • Medical Billing Coordinator / Full-Cycle Biller
  • Patient Access Lead / Intake Coordinator
  • Claims Resolution Specialist

Requirements

  • Must be eligible to work in one of: Remote, USA
  • Fluent proficiency in English (Written & Verbal)
  • Reliable high-speed internet connection
  • Bachelor's degree or equivalent professional experience
  • Demonstrated expertise in Business

What to Expect

Looking at Mercor Business listings we've tracked, contracts in this domain typically run about 3 weeks. Actual length varies by project, but this gives you a realistic baseline going in.

Based on 29 extracted Mercor Business listings.

Why This Role

Few remote roles pay $100/hr for Business judgment on your own schedule. As a Healthcare Administrative Workflow Specialist (Availity), this is that role: real income, flexible hours, and direct exposure to how AI labs are building the next generation of models.

Skills & Categories

Explore other opportunities in related specializations:

Business Expert

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Frequently Asked Questions

Is Mercor for freelancers or full-time contractors?

Mercor places you with one client for a defined engagement, like 'Python Tutor for 3 months', rather than having you grab small tasks from a shared queue. Most roles function as steady contract work, not one-off gigs.

Does Mercor's application require an on-camera interview?

Yes, every applicant records a video interview with an AI interviewer that asks questions about your resume. Clients review that recording to judge communication skills before matching, so there's no way to apply without going on camera.

Does it cost money to apply to Mercor?

No, applying and joining Mercor is free. Mercor's revenue comes from a fee it charges the client on top of your hourly rate, not from applicants. Treat any request for payment to join as a red flag.

Is AI training work the same as traditional consulting?

No. Instead of client deliverables, you're given complex scenarios to evaluate: grading the AI's logic, correcting its hallucinations, and supplying expert-level reasoning it doesn't have on its own. The job is closer to teaching than consulting.

Why do these AI training roles pay so much?

Because general knowledge isn't what's being tested. The model already knows the basics; what it needs is expertise on edge cases, the rare, difficult, highly technical judgment calls only a senior professional in the field would make correctly.

What does the day-to-day workload look like for elite-expert AI training roles?

Slow and deep, not fast and repetitive. A single task can take 45-60 minutes of researching citations or verifying complex calculations. Quality is what's being measured here, not throughput.

What does Business work look like for a Healthcare Administrative Workflow Specialist (Availity)?

Tasks here are scoped to Business, not generic labeling. As a Healthcare Administrative Workflow Specialist (Availity), expect to draw on real domain judgment (evaluating outputs, correcting errors, or providing expert reasoning specific to Business) rather than following a one-size-fits-all rubric. If you don't have hands-on Business background, this is likely not the right listing to start with.

What happens when I click Apply on this listing?

You'll be taken to Mercor's external site to complete your application there. This listing links through a referral, but the process is identical to applying directly; the link just routes you correctly. Create an account on their site and follow their onboarding steps.

Can I apply from outside USA?

This specific role is open only to people based in USA. If you are somewhere else, applying is unlikely to lead to an offer even if you pass the assessment, because the restriction is usually about where the work can legally be contracted rather than your skills. Read the full description for any tax-residency or right-to-work caveats before you apply.

How soon will I start working after applying to Mercor?

Not immediately. Mercor is a talent marketplace, not a task queue, so applying puts you in a pool of candidates. You start working only once a specific client, like a major AI lab, selects your profile, and that matching process can take weeks.