Silnahealth.Com

Payor Process & Documentation Specialist

Remote. Posted 4 months ago

The role

This person will write and maintain standardized documentation, checklists, and requirement guides for payor processes. They will also conduct research into payor-specific submission processes to keep documentation current.

What you will do

  • Write and maintain clear, standardized documentation of payor requirements, submission processes, and authorization workflows
  • Build and refine checklists for prior authorization and benefit verification submissions
  • Annotate and tag source materials with structured, consistent labels
  • Edit and standardize documentation drafted by others
  • Keep documentation current as payor policies change with version tracking
  • Proofread and quality-check all documentation for accuracy and clarity
  • Research and validate prior authorization and benefit verification requirements
  • Investigate payor-specific submission processes
  • Validate information from multiple sources and assess credibility

Required qualifications

  • Foundational knowledge of revenue cycle management (RCM), with specific familiarity with prior authorization processes
  • Strong technical writing skills
  • Track record of accurate, low-error output
  • Experience creating checklists, SOPs, style guides, or other standardized reference materials
  • Comfort annotating or tagging structured content for documentation or data systems
  • Solid research skills and comfort navigating payor portals, websites, and policy documentation
  • Exceptional attention to detail
  • Ability to work independently and bring structure to ambiguous or undocumented processes
  • Strong written communication skills and comfort incorporating feedback

Nice to have

  • writing samples or a portfolio

Benefits

  • Ground-floor opportunity to build foundational operations at a rapidly growing startup
  • Work directly with the founding team and influence company direction
  • Competitive compensation package including equity
  • Chance to make a meaningful impact on healthcare delivery through operational excellence
  • Fast-paced, dynamic environment that rewards initiative and results
  • Opportunity to solve complex problems alongside brilliant colleagues

About the company

Silna Health attacks the root cause of denied claims by addressing fragmented systems that govern prior authorizations, eligibility verification, and benefit checks. They work across behavioral health, physical health, ambulatory care, and post-acute care.

Payor Process & Documentation Specialist at Silnahealth.Com | JobZoey