Payor Process & Documentation Specialist

Job description

## **About the Position** We're looking for a meticulous technical writer with foundational knowledge of revenue cycle management, particularly prior authorization, to turn complex, ever-changing payor requirements into clear, standardized documentation our team can rely on. This role is primarily about writing: producing and maintaining checklists, requirement guides, and process documentation that are accurate, consistently formatted, and easy for anyone on the team to follow. A smaller part of the role (roughly a quarter to a third of your time) involves original research into payor-specific submission processes to keep that documentation current. You'll be successful here if you have a track record of producing polished, standardized work with very few errors; where mistakes do happen, they show up in edge cases rather than in the foundational facts. We need someone who treats documentation as a craft: consistent terminology, consistent structure, and zero ambiguity for the reader. ## Responsibilities Documentation, Annotation, & Checklist Creation - 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 - 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processes (required documents, portals, fax numbers, CPT code requirements) when existing documentation is unclear, outdated, or missing - Validate information from multiple sources and assess the credibility of payor guidance before it's documented ## Requirements - Foundational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 ## **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. ## **Why Join Silna** - Ground-floor opportunity to build foundational operations at a rapidly growing startup - Work directly with the founding team and influence company direction - Competitive compensation package including equity - Chance to make a meaningful impact on healthcare delivery through operational excellence - Fast-paced, dynamic environment that rewards initiative and results - Opportunity to solve complex problems alongside brilliant colleagues This role is perfect for someone who loves building systems from scratch, thrives in fast-paced environments, and wants to be instrumental in transforming how healthcare providers interact with insurance. If you're ready to join a mission-driven company that's revolutionizing healthcare administration through operational excellence, we want to talk to you.