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.
About the Role
Silna is looking for a sharp, detail-oriented Payor Communications Specialist to be the voice of Silna when insurers reach out. Your main job is picking up inbound calls from payors and managing all inbound payor communications. You’ll figure out what each one means for a patient’s case and what has to happen next.
This isn’t a script-reading call center job. You’ll learn how Silna’s system works and how information connects across patients, payors, authorizations, and benefits, so every payor interaction ends with the right next step logged in the right place. You’ll work closely with our Operations and Product teams to keep cases moving and identify opportunities to improve comunication workflows and features.
Responsibilities
•Answer inbound calls from payors and own each one until it’s resolved or handed off
•Understand what payors are telling us, including authorization statuses, requests for more information, denials, and eligibility or benefits updates, and turn each one into clear next steps
•Manage the inbound payor queue (calls, voicemails, faxes, emails, and portal messages), and make sure each item is triaged, logged accurately, and sent to the right person
•Learn how Silna’s system is set up and how patient, payor, authorization, and benefits data connect, so updates land in the right place the first time
•Share what you learn about payor communication patterns with the Product and Engineering teams to help automate parts of the workflow
•Be willing to work 40 hours per week
Qualifications
•1–2+ years of experience in a admin-heavy healthcare role: payor calls, insurance verification, prior authorizations, revenue cycle, or medical billing
•Comfortable on the phone most of the day, and good at working with payor reps
•Exceptional attention to detail
•Able to context-switch fast without dropping anything
•Working knowledge of insurance basics: eligibility, benefits, deductibles, co-insurance, out-of-pocket, and the prior authorization lifecycle
•Strong written and verbal communication, with clear notes, clear handoffs, and clear escalations
•Highly organized, works with urgency, and comfortable working independently
•Nice to have: behavioral health or ABA experience; familiarity with payor portals and EMR/EHR systems like CentralReach and Rethink
Benefits
•A competitive hourly rate
•Chance to move from contractor to a well-compensated full-time position, which includes benefits and equity in the company
•Remote role
•Best of all, a chance to make an impact on patients’ ability to access care
To apply, please attach a resume and any other relevant details about your background. Please do not apply if you don’t meet the required criteria.
Job Type: Full-Time
Experience:
•Phone-based healthcare / payor communications: 1 year (Required)
•Insurance verification or prior authorization: 1 year (Required)
•Behavioral health / ABA: (Preferred)