AI Insurance Process Specialist (Fully Remote)

Silna Health; United States; Remote; USD 85,000 - 125,000; Full time

Benefits offered by this job

401(k)

Unlimited PTO

Job summary

Silna Health is seeking a detail-oriented professional to evaluate AI outputs and identify errors or gaps in content, helping ensure reliable decision-making in healthcare workflows.

You will build workflows and decision trees for insurance requirements, and research payer rules to implement configuration changes that streamline prior authorizations and eligibility checks.

Qualifications

• Strong analytical skills and systems mindset.
• Clear communication and ability to work independently.
• Curiosity about AI and healthcare.

Responsibilities

• Evaluate AI outputs for errors and review cases.
• Build workflows and decision trees for insurance requirements.
• Research payer rules and implement configuration changes.

Skills

Analytical thinking

Systems mindset

Clear communication

Independence

Curiosity about AI

Job description

• Evaluate AI outputs to identify errors, missing information, and human review cases.
• Build workflows and decision trees for insurance requirements.
• Research payer rules and execute configuration changes.

Requirements:

• Strong analytical skills and systems mindset.
• Clear communication and ability to work independently.
• Curiosity about AI and healthcare.

About:

• Backed by Accel and Bain Capital Ventures.
• Focus on simplifying prior auth and eligibility.
• Salary plus 401(k) and unlimited PTO.

Silna Health

Silna Health helps healthcare organizations prevent administrative issues by simplifying prior authorizations, eligibility verification, and benefit checks. Backed by Accel and Bain Capital Ventures, it serves behavioral, physical, ambulatory, and post-acute care.