Healthcare Insurance Admin

This is a fully remote position, open to applicants in United States.

📋 Description

• Respond to incoming calls from payors and take ownership of each call until resolution or appropriate referral.

• Comprehend authorization statuses, requests for additional information, denials, and updates on eligibility or benefits, converting each into actionable next steps.

• Oversee the inbound payor queue, managing calls, voicemails, faxes, emails, and messages from portals.

• Triage, accurately document, and direct each incoming item.

• Understand how patient, payor, authorization, and benefits information integrates within Silna’s system.

• Relay payor communication trends to the Product and Engineering teams to facilitate workflow automation.

• Collaborate closely with Operations and Product teams to ensure case progression and enhance communication workflows and features.

⛳️ Requirements

• 1–2+ years of experience in a healthcare administration role focused on payor calls, insurance verification, prior authorizations, revenue cycle, or medical billing.

• Comfortable spending most of the day on the phone and adept at interacting with payor representatives.

• Exceptional attention to detail.

• Ability to switch contexts quickly without losing focus on tasks.

• Knowledge of insurance fundamentals: eligibility, benefits, deductibles, co-insurance, out-of-pocket expenses, and the prior authorization process.

• Strong written and verbal communication skills, ensuring clear notes, smooth handoffs, and effective escalations.

• Highly organized, able to work with urgency, and comfortable functioning independently.

• Preferred: experience in behavioral health or ABA.

• Familiarity with payor portals and EMR/EHR systems such as CentralReach and Rethink.

• Minimum of 1 year in phone-based healthcare/payor communications (Required).

• Minimum of 1 year in insurance verification or prior authorization (Required).

• Experience in behavioral health/ABA is a plus.

• Must have legal authorization to work in the United States.

• Must be willing to commit to a 40-hour work week.

🏝️ Benefits

• A competitive hourly wage.

• Opportunity to transition from a contractor role to a well-compensated full-time position, including benefits and equity in the company.

• Remote work flexibility.

• The chance to positively influence patients' access to care.