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Authorization and Verification Research Specialist

Silna Health

Job Overview

Location

Remote

Job Type

Full-time

Full Job Description

📋 Description

• The Authorization and Verification Research Specialist at Silna Health plays a critical role in reducing administrative barriers to patient care by researching and documenting prior authorization and benefit verification requirements across diverse insurance payors. This role directly supports healthcare providers by ensuring accurate, up-to-date information is available to prevent claim denials and delays in treatment.
• Day-to-day responsibilities include researching prior authorization and benefit verification requirements across commercial plans, state Medicaid programs, and other payors; investigating submission processes such as required documents, portals, fax numbers, CPT code specifications, and policy updates; monitoring payor websites, newsletters, and representative communications for changes; validating information from multiple sources to ensure accuracy and credibility; solving ambiguous problems where processes are undefined or evolving; communicating findings clearly to cross-functional teams; and adapting quickly to feedback in a fast-paced startup environment.
• Silna Health is a venture-backed startup (supported by Accel and Bain Capital Ventures) focused on eliminating claim denials by fixing fragmented insurance systems. The company works across behavioral health, physical health, ambulatory care, and post-acute care settings, where administrative inefficiencies can delay or deny patient access to care. This role contributes to Silna’s mission of turning multi-day workflows into real-time decisions before care is delivered.
• In this role, you will develop deep expertise in insurance authorization processes across a wide range of payors and specialties, build strong research and problem-solving skills in ambiguous environments, and gain experience improving processes where none exist. You’ll have the opportunity to directly impact patient access to care by enabling providers to navigate complex insurance requirements more efficiently and effectively.

🎯 Requirements

• Prior authorization and/or insurance verification experience at a healthcare clinic
• Deep familiarity with payor submission processes and how requirements vary across different insurance plans
• Strong research skills and comfort navigating payor portals, websites, and documentation
• Exceptional attention to detail and ability to spot common authorization mistakes
• Experience working with multiple payors and understanding process variations
• Demonstrated ability to build or improve processes when protocols don't exist
• Resilient problem-solver who thrives in ambiguous, evolving environments
• Strong communication skills and comfort asking for help when needed
• Humility and willingness to learn from mistakes

🏖️ Benefits

• Pay: $25-27/hour
• Hours: 40 hours/week
• Fully remote
• All necessary devices and system access provided
• Start date: ASAP

Skills & Technologies

Remote

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Silna Health

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About Silna Health

Silna Health is a healthcare technology company that builds cloud-native software for value-based care providers. Its platform automates administrative workflows, aggregates clinical and claims data, and delivers analytics to help medical groups, IPAs, and health plans improve quality outcomes, reduce costs, and manage risk-based contracts across Medicare Advantage, Medicaid, and commercial populations.

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