Silna Health
Authorization and Verification Research Specialist
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Job Description
- Req#: 38afa947-28c8-423f-953f-22ef7a680460
Employer Industry: Healthcare Administration
Why consider this job opportunity:
- Salary up to $27/hour
- Fully remote position offering flexibility in work location
- All necessary devices and system access provided
- Opportunity to make a direct impact on patient care and provider support
- Work in a fast-paced startup environment that values innovation and problem-solving
What to Expect (Job Responsibilities):
- Research and document prior authorization and benefit verification requirements across various payors
- Investigate payor-specific submission processes, including required documents and policy updates
- Stay informed on payor policy changes affecting authorization processes and benefit structures
- Validate information from multiple sources to ensure credibility of payor guidance
- Communicate findings clearly to cross-functional stakeholders and adapt to feedback
What is Required (Qualifications):
- Required: Prior authorization and/or insurance verification experience at a healthcare clinic
- Deep familiarity with payor submission processes and variations across different insurance plans
- Strong research skills and comfort navigating payor portals and documentation
- Exceptional attention to detail and ability to identify common authorization mistakes
- Demonstrated ability to build or improve processes when protocols are lacking
How to Stand Out (Preferred Qualifications):
- Resilient problem-solver who thrives in ambiguous, evolving environments
- Strong communication skills and willingness to seek help when needed
- Humility and a willingness to learn from mistakes
#HealthcareAdministration #InsuranceVerification #RemoteWork #StartupCulture #PatientCare
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