Healthcare Admin Specialist - Operations

Obsidian; New York (NY); On-site; USD 60,000 - 90,000; Full time

Job summary

Obsidian is seeking professionals with deep, hands-on experience in healthcare administrative and back-office operations to support the full lifecycle from patient access to payment posting. You will help define and optimize the precise steps these workflows take using the tools you work with daily.

Ideal candidates bring experience with payer portals, EHR/practice-management platforms, and clearinghouses, and are currently active in a healthcare administrative role in the United States.

Qualifications

• 3+ years of daily, hands-on experience in a healthcare administrative / back-office role
• Direct experience with payer portals, EHR/practice-management platforms, and clearinghouses
• Currently working in a healthcare administrative role

Responsibilities

• Own core administrative workflows across healthcare back-office functions
• Coordinate patient access, eligibility, and intake processes
• Manage prior authorizations and utilization support workflows
• Oversee claims submission, status tracking, denials and appeals
• Post remittance payments and reconcile with charges

Skills

Healthcare administration

Back-office operations

Workflow ownership

Tools

Availity

Optum/Change Healthcare

Waystar

Office Ally

Job description

About the Role

We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medical practice, hospital, or health plan. This spans the full administrative lifecycle: getting patients registered and covered, securing authorizations, moving claims through to payment, managing provider and payer relationships, and keeping records and compliance in order. You'll help us understand the precise steps these workflows take in the real tools you use every day.

Core Workflows (you should actively own one or more)

• Patient Access & Front-End: registration, scheduling, insurance/eligibility verification, benefits interpretation, intake, and referral management
• Prior Authorizations & Utilization Support: initiating, submitting, and tracking authorizations through payer portals
• Claims & Revenue Cycle: claim submission, status tracking, denials and appeals, A/R follow-up, and resolution of rejections
• Remittance & Payment Posting: electronic remittance advice (ERA), payment posting, and reconciliation against clinical charges
• Provider & Payer Operations: credentialing, provider enrollment, payer configuration, appeals & grievances, and member/provider services
• Health Information & Practice Administration: medical records administration, release of information, and day-to-day practice/office operations

Requirements

• 3+ years of daily, hands-on experience in a healthcare administrative / back-office role
• Direct experience with the systems this work runs on — payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna), EHR / practice-management platforms, and/or clearinghouses
• Currently working in a healthcare administrative role
• Based in the United States

Ideal Backgrounds

• Practice Administrator / Medical Office Manager
• Revenue Cycle Specialist / RCM Analyst
• Medical Billing Coordinator / Full-Cycle Biller
• Patient Access Lead / Intake / Referral Coordinator
• Prior Authorization Specialist
• Denials / Claims Resolution Specialist
• Credentialing / Provider Enrollment Specialist
• Health Plan / Payer Operations (claims, appeals & grievances, provider configuration)
• Health Information Management (HIM) / Medical Records administrator

Note: We are looking for administrative and operational workflow expertise across healthcare — not medical coding or clinical care roles.