Payor Process and Documentation Specialist

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Velvet CARE sp. z o.o.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

Healthcare Insurance • Fintech • SaaS

Velvet CARE sp. z o. o. is a company dedicated to streamlining healthcare processes, specifically focusing on improving prior authorization and eligibility checks for healthcare providers. Through their platform, Silna, they empower providers to concentrate on patient care rather than administrative tasks. By handling prior authorizations and benefits checks, they facilitate efficient patient intake and ensure clinicians can deliver services seamlessly, ultimately enhancing job satisfaction and patient outcomes.

📋 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processes (required documents, portals, fax numbers, CPT code requirements) when existing documentation is unclear, outdated, or missing • Validate information from multiple sources and assess the credibility of payor guidance before it's documented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 • Ground-floor opportunity to build foundational operations at a rapidly growing startup • Work directly with the founding team and influence company direction • Chance to make a meaningful impact on healthcare delivery through operational excellence • Fast-paced, dynamic environment that rewards initiative and results