[Remote] Authorization and Verification Research Specialist

Note: The job is a remote job and is open to candidates in USA. 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.ResponsibilitiesResearch 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 updatesStay informed on payor policy changes, especially those affecting authorization processes and benefit structuresNavigate payor websites, newsletters, and representative communications to gather accurate, up-to-date informationValidate information from multiple sources and determine credibility of payor guidanceWork independently to solve ambiguous problems where established processes don't yet existCommunicate findings clearly to cross-functional stakeholders and adapt quickly to feedbackHandle tight deadlines and shifting priorities in a fast-paced startup environmentSkillsPrior authorization and/or insurance verification experience at a healthcare clinicDeep familiarity with payor submission processes and how requirements vary across different insurance plansStrong research skills and comfort navigating payor portals, websites, and documentationExceptional attention to detail and ability to spot common authorization mistakesExperience working with multiple payors and understanding process variationsDemonstrated ability to build or improve processes when protocols don't existResilient problem-solver who thrives in ambiguous, evolving environmentsStrong communication skills and comfort asking for help when neededHumility and willingness to learn from mistakesBenefitsFully remoteAll necessary devices and system access providedCompany OverviewIntroducing the industry's first Care Readiness Platform. It was founded in 2023, and is headquartered in New York, New York, USA, with a workforce of 11-50 employees. Its website is https://www.silnahealth.com/.



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