silnahealth.com - Authorization and Verification Research Specialist

Remote - United States$52k - $56k6mo ago

Remote NA Insurance Research Assistant Documentation

Requirements

• Required: 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

Responsibilities

• 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 • 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

Benefits

• Base Salary$26 – $28 per hour • Upload your resume here to autofill key application fields. • Drop your resume here! • Parsing your resume. Autofilling key fields... • or drag and drop here • Note: In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. • How many years of prior authorization experience do you have? • Used only for scheduling, payroll setup, and location-based work eligibility. We don’t use this to make hiring decisions.