Healthcare Administrative Specialist

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Weekday (YC W21)

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2021

💼 Consulting

👥 HR Tech

☁️ SaaS

Consulting • HR Tech • SaaS

Weekday is a modern recruitment platform that combines AI technologies with a vast database of potential candidates, aiming to streamline the hiring process for companies in India. They offer various services, including a proactive outreach approach that helps employers connect with top talent, as well as tools for candidates to easily apply for jobs. Weekday's emphasis on candidate engagement through multiple channels, including email, WhatsApp, and phone calls, sets it apart in the competitive landscape of recruitment agencies.

📋 Description

• Manage patient registration, scheduling, and appointment coordination. • Perform insurance eligibility verification and benefits interpretation. • Oversee patient intake and referral management processes. • Initiate, submit, and monitor prior authorization requests through payer portals. • Coordinate with providers and insurance companies to ensure timely approvals. • Submit insurance claims and monitor claim status. • Investigate denials, manage appeals, and resolve claim rejections. • Conduct accounts receivable follow-up to ensure timely reimbursement. • Process Electronic Remittance Advice (ERA). • Post payments accurately and reconcile remittances with clinical charges. • Assist in payment reconciliation and financial reporting activities. • Manage provider credentialing and enrollment activities. • Support 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. • Ensure documentation and operational 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 within a healthcare administrative environment. • Strong working knowledge of industry-standard systems, including: • Payer portals such as **Availity, Optum/Change Healthcare, Waystar, Office Ally**, or payer-specific portals including **UHC Link, BCBS, and Aetna**. • Electronic Health Record (EHR) and Practice Management systems. • Healthcare clearinghouse platforms. • Based in the **United States**. • Strong analytical, organizational, and communication skills. • Ability to accurately document and explain operational workflows.