Responsibilities
- 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 and validate prior authorization and benefit verification requirements across diverse payors (commercial plans, state Medicaid programs, etc.)
- Investigate payor-specific submission processes (required documents, portals, fax numbers, CPT code requirements) when existing documentation is unclear, outdated, or missing
- Validate information from multiple sources and assess the credibility of payor guidance before it's documented
Requirements
- Foundational knowledge of revenue cycle management (RCM), with specific familiarity with prior authorization processes
- Strong technical writing skills; demonstrated ability to produce clear, structured, standardized documentation (writing samples or a portfolio a plus)
- A track record of accurate, low-error output, where any errors tend to occur in non-foundational details rather than core facts
- Experience creating checklists, SOPs, style guides, or other standardized reference materials
- Comfort annotating or tagging structured content for documentation or data systems
- Solid research skills and comfort navigating payor portals, websites, and policy documentation
- Exceptional attention to detail
- Ability to work independently and bring structure to ambiguous or undocumented processes
- Strong written communication skills and comfort incorporating feedback
