Payor Process and Documentation Specialist

🔥 2 hours 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

• 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 across payors, ensuring consistent format and terminology • Annotate and tag source materials (payor policies, portal captures, requirement documents) with structured, consistent labels for internal reference and systems use • Edit and standardize documentation drafted by others so all materials follow a consistent style, structure, and level of detail • Keep documentation current as payor policies change, with clear version tracking • Proofread and quality-check all documentation for accuracy, consistency, and clarity before it goes live • Research and validate 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processes (required documents, portals, fax numbers, CPT code requirements) when existing documentation is unclear, outdated, or missing • Validate information from multiple sources and assess the credibility of payor guidance before it's documented

🎯 Requirements

• Foundational knowledge of revenue cycle management (RCM), with specific familiarity with prior authorization processes • Strong technical writing skills; demonstrated ability to produce clear, structured, standardized documentation (writing samples or a portfolio a plus) • A track record of accurate, low-error output, where any errors tend to occur in non-foundational details rather than core facts • 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

🏖️ Benefits

• Competitive compensation package including equity • Chance to make a meaningful impact on healthcare delivery through operational excellence