Payor Process & Documentation Specialist

Silna Health

8d•$30 - $35

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.

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

Responsibilities

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