Authorization and Verification Research Specialist

Authorization and Verification Research Specialist

Remote | Full time | 40 hours/week

About the Role

We're looking for a detail-oriented insurance verification and prior authorization expert who thrives on research and problem-solving. In this role, you'll investigate payor requirements across insurance plans—digging into portals, policy updates, and submission processes—to uncover the specific steps needed to successfully submit prior authorizations and verify benefits.

You'll be our go-to researcher for understanding how different payors work, what documents they require, and how their processes vary across specialties. Your findings will directly enable our team to support healthcare providers and help patients access the care they need.

This role is ideal for someone who loves the investigative side of insurance work, stays current on payor policy changes, and wants to build expertise across a wide range of insurance plans.

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

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

Qualifications

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

About Silna

Healthcare is obsessed with optimizing a broken system. We're making sure it never breaks.

Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take days into decisions made in minutes, before care is ever delivered.

We work across behavioral health, physical health, ambulatory care, and post-acute care, where administrative failure doesn't just cost money; it can delay or deny patient access entirely. We're backed by Accel and Bain Capital Ventures, and we're building fast.

Compensation & Benefits

Pay: $25-27/hour

Hours: 40 hours/week

Fully remote

All necessary devices and system access provided

Start date: ASAP

Why Join Silna Health?

Be part of a startup transforming healthcare administration. Your research will directly impact patients' ability to access timely care by helping providers navigate complex insurance requirements more effectively.