Payor Process & Documentation Specialist
ABOUT THE POSITION
We're looking for a meticulous technical writer with foundational knowledge of revenue cycle management, particularly prior authorization, to turn complex, ever-changing payor requirements into clear, standardized documentation our team can rely on. This role is primarily about writing: producing and maintaining checklists, requirement guides, and process documentation that are accurate, consistently formatted, and easy for anyone on the team to follow. A smaller part of the role (roughly a quarter to a third of your time) involves original research into payor-specific submission processes to keep that documentation current.
You'll be successful here if you have a track record of producing polished, standardized work with very few errors; where mistakes do happen, they show up in edge cases rather than in the foundational facts. We need someone who treats documentation as a craft: consistent terminology, consistent structure, and zero ambiguity for the reader.
RESPONSIBILITIES
Documentation, Annotation, & Checklist Creation
- Write and maintain clear, standardized documentation of payor requirements, submission processes, and authorization workflows
- Build and refine checklists for prior authorization and benefit verification submissions across payors, ensuring consistent format and terminology
- Annotate and tag source materials (payor policies, portal captures, requirement documents) with structured, consistent labels for internal reference and systems use
- Edit and standardize documentation drafted by others so all materials follow a consistent style, structure, and level of detail
- Keep documentation current as payor policies change, with clear version tracking
- Proofread and quality-check all documentation for accuracy, consistency, and clarity before it goes live
Research
- Research and validate prior authorization and benefit verification requirements across diverse payors (commercial plans, state Medicaid p...