Authorization and Verification Research Specialist

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🕒 4 days ago

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Silna

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

🏥 Healthcare

☁️ SaaS

⚕️ Healthcare Insurance

💰 $22M Series A on 2025-04

Healthcare • SaaS • Healthcare Insurance

Silna is a care-readiness software company that provides an AI-powered platform to manage prior authorizations, benefit checks, and insurance monitoring for healthcare providers. It automates the entire prior authorization lifecycle (tracking, reminders, submissions, and follow-ups), performs specialty-specific benefit checks (coverage, accumulations, authorization requirements, and visit limits), and continuously monitors patient insurance status to flag lost or new coverage. Silna positions itself as a B2B SaaS solution that reduces administrative burden, increases payment certainty, and improves patient access to care; the company reports working with 1,000+ payors across all 50 states and supporting 250k+ patients, and is rated #1 in Prior Authorization on G2.

📋 Description

• 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

🎯 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

• Fully remote • All necessary devices and system access provided