Apply on Employer Site

Silna · 2 days ago

Authorization and Verification Research Specialist

United States

Full-time

Remote

New Grad, Entry Level

$25/hr - $27/hr

Silna Health is a startup transforming healthcare administration, seeking a detail-oriented insurance verification and prior authorization expert. The role involves researching payor requirements across insurance plans to support healthcare providers and help patients access necessary care.

Artificial Intelligence (AI)Health CareInformation Technology

Responsibilities

Research and document prior authorization and benefit verification requirements across diverse payors (commercial plans, state Medicaid programs, etc.)

Investigate payor-specific submission processes: required documents, portals, fax numbers, CPT code requirements, and policy updates

Stay informed on payor policy changes, especially those affecting authorization processes and benefit structures

Navigate payor websites, newsletters, and representative communications to gather accurate, up-to-date information

Validate information from multiple sources and determine credibility of payor guidance

Work independently to solve ambiguous problems where established processes don't yet exist

Communicate findings clearly to cross-functional stakeholders and adapt quickly to feedback

Handle tight deadlines and shifting priorities in a fast-paced startup environment

Qualification

Prior authorization experienceInsurance verification experiencePayor submission processesResearch skillsWillingness to learnCommunication skillsAttention to detailProblem-solving