Healthcare Administrative Specialist

Summary

Weekday AI is a company focused on developing next-generation AI solutions for healthcare administration. They are seeking experienced healthcare administrative professionals to support the operational functions of healthcare organizations and improve workflows through AI systems.

Responsibilities

• 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

Skills

• 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
• Practice Administrator
• Medical Office Manager
• Revenue Cycle Specialist
• Revenue Cycle Analyst
• Medical Billing Coordinator
• Full-Cycle Medical Biller
• Patient Access Lead
• Patient Intake Coordinator
• Referral Coordinator
• Prior Authorization Specialist
• Claims Resolution Specialist
• Denials Management Specialist
• Credentialing Specialist
• Provider Enrollment Specialist
• Health Plan Operations Professional
• Payer Operations Specialist
• Appeals & Grievances Specialist
• Provider Configuration Specialist
• Health Information Management (HIM) Professional
• Medical Records Administrator

Qualifications

Must Haves

• 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

Nice to Haves

• Practice Administrator
• Medical Office Manager
• Revenue Cycle Specialist
• Revenue Cycle Analyst
• Medical Billing Coordinator
• Full-Cycle Medical Biller
• Patient Access Lead
• Patient Intake Coordinator
• Referral Coordinator
• Prior Authorization Specialist
• Claims Resolution Specialist
• Denials Management Specialist
• Credentialing Specialist
• Provider Enrollment Specialist
• Health Plan Operations Professional
• Payer Operations Specialist
• Appeals & Grievances Specialist
• Provider Configuration Specialist
• Health Information Management (HIM) Professional
• Medical Records Administrator

Benefits

• Fully remote opportunity
• Work remotely with a flexible schedule
• Payments are processed weekly through Stripe or Wise based on approved work completed