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Healthcare Administrative Specialist

1 month ago
United States
Contract
Mid Level
AI (Artificial Intelligence)
Artificial Intelligence and Machine Learning
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Weekday helps companies hire engineers who are vouched by other software engineers, enabling passive income for engineers. They offer services like drafting outreach messages, shortlisting candidates, and conducting reference checks. Backed by Y Combin...

Construction & Engineering
11-50
Founded 2020
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Description

  • Manage patient registration, scheduling, appointment coordination, intake, referral, and insurance verification processes.
  • Initiate, submit, and monitor prior authorization requests and coordinate approvals with providers and payers.
  • Submit insurance claims, track claim status, manage denials and appeals, and handle accounts receivable follow-up.
  • Process ERA, post payments, reconcile remittances with clinical charges, and support financial reporting.
  • Manage provider credentialing, provider enrollment, and payer configuration and maintenance.
  • Handle provider and member services, appeals, and grievance processes.
  • Administer medical records and release-of-information requests.
  • Support daily medical office and practice administration activities.
  • Document, evaluate, and explain operational workflows for AI system development.
  • Ensure operational documentation and processes remain compliant with organizational policies.

Requirements

  • Minimum 3 years of hands-on experience in a healthcare administrative or back-office operations role.
  • Current employment in a healthcare administrative environment.
  • Working knowledge of payer portals such as Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, or Aetna.
  • Experience with EHR and Practice Management systems.
  • Experience with healthcare clearinghouse platforms.
  • Based in the United States.
  • Strong analytical, organizational, and communication skills.
  • Ability to accurately document and explain operational workflows.
  • Experience in practice administration, revenue cycle, patient access, prior authorization, claims resolution, credentialing, payer operations, appeals and grievances, or HIM is preferred.
  • This opportunity is focused on healthcare administrative and operational expertise rather than medical coding or direct clinical care experience.

Benefits

  • Compensation of $40 - $50 per hour.
  • Fully remote work.
  • Flexible schedule with work completed on your own time.
  • Independent contractor engagement.
  • Weekly payments through Stripe or Wise based on approved work completed.
  • Opportunity to contribute to next-generation AI solutions for healthcare administration.
  • Reasonable accommodations available upon request.

Interested in this position?

Apply directly on the company website

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