ABA Authorization Specialist

ABOUT SILNA

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 an enterprising prior authorization and benefits verifications expert to work closely with our customers - ABA (Autism), Mental Health, IOP, and Psych Testing providers - and complete these administrative tasks on their behalf. This is a unique role, as you will also be working closely 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

- Work with insurers to verify patient eligibility and benefits, and expediently complete prior authorizations using insurance portals or calling insurers directly. Ensure authorization is approved in a timeline manner by following up with insurers and providing additional information

- Be responsible for handling multiple prior authorizations simultaneously and create process to ensure top of the line performance

- Understand ABA- and other behavioral health-specific workflows, including creating treatment plans, re-authorization

- Become a subject matter expert in behavioral health prior authorization workflows for large insurers

- Work closely with Silna Product/Engineering teams to share learnings about the prior authorization pr...