Healthcare Insurance Phone Admin

Silna Health
United States
RemoteCareer-pivot friendly

Who this role is best for

Healthcare professionals with payor communication experience and strong attention to detail will find this remote role with a focus on operational efficiency and collaboration across teams.

Best fit for

  • Candidates with 1–2 years of experience in healthcare administrative roles involving payor calls and insurance verification
    — “1–2+ years of experience in a admin-heavy healthcare role: payor calls, insurance verification, prior authorizations, revenue cycle, or medical billing”
  • Individuals who are comfortable working independently and managing high-priority tasks with urgency
    — “Highly organized, works with urgency, and comfortable working independently”
  • Professionals who can translate complex payor communication into actionable steps and collaborate with product teams
    — “Share what you learn about payor communication patterns with the Product and Engineering teams to help automate parts of the workflow”

Things to consider

  • The role demands a full-time commitment of 40 hours per week and may not suit part-time or flexible-hour seekers
    — “Be willing to work 40 hours per week”
  • Despite the remote arrangement, the role requires consistent availability and engagement with payor reps throughout the day
    — “Comfortable on the phone most of the day, and good at working with payor reps”

How to stand out

  • Highlight your ability to log and triage communications accurately in your resume and interview responses
    — “Manage the inbound payor queue ... logged accurately, and sent to the right person”
  • Emphasize your understanding of insurance basics and how they relate to patient care outcomes
    — “Working knowledge of insurance basics: eligibility, benefits, deductibles, co-insurance, out-of-pocket, and the prior authorization lifecycle”
  • Showcase your experience with payor portals and EMR/EHR systems if available, as this is a preferred skill
    — “familiarity with payor portals and EMR/EHR systems like CentralReach and Rethink”
Pace · Fast PacedCollaboration · MediumAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • managing inbound payor communications effectively
  • improving communication workflows and features
Typical background
admin-heavy healthcare rolespayor calls, insurance verification, prior authorizations, revenue cycle, or medical billing

Skills & requirements

Required

Healthcare AdministrationInsurance VerificationPrior AuthorizationCustomer ServiceCommunication

Preferred

Behavioral HealthABA ExperienceFamiliarity With Payor Portals And Emr/ehr Systems

Stack & domain

Phone-based HealthcarePayor CommunicationsInsurance VerificationPrior AuthorizationRevenue CycleMedical BillingAttention To DetailContext-switchingWritten And Verbal CommunicationOrganizationUrgencyIndependenceHealthcareInsurance

About the role

Original posting from Silna Health via Ashby

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)

Source: Silna Health careers (Ashby)

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