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About the Role:
- Silna is looking for an enterprising prior authorization and benefits verifications expert to work closely with customers - ABA, Mental Health, IOP, and Psych Testing providers.
- This role involves completing administrative tasks on behalf of providers and working with the Silna Product team to automate parts of the verification and authorization processes.
Responsibilities:
- Work closely with ABA/behavioral health providers and their billing teams to collect accurate patient information and communicate authorization decisions.
- Verify patient eligibility and benefits with insurers, and expediently complete prior authorizations using insurance portals or direct calls.
- Ensure authorization is approved in a timely manner by following up with insurers and providing additional information; handle multiple authorizations simultaneously.
Qualifications:
- 2+ years of experience completing prior authorizations for ABA (preferred) or other behavioral health services.
- Strong understanding of insurance policies, benefits (deductibles, co-insurance, out-of-pocket), and payor portals.
- Familiarity with EMR/EHR systems like CentralReach and Rethink is a nice to have.
Silna Health
Silna Health is obsessed with optimizing the broken healthcare system by automating prior authorizations and eligibility checks. Backed by Accel and Bain Capital Ventures, they are a fast-growing company working across behavioral health, physical health, ambulatory care, and post-acute care.