Ascertain logo
Ascertain

Agentic AI for healthcare operations. Ascertain what matters, automate the rest.

Prior Authorization Assistant

Executive AssistantExecutive AssistantFull TimeRemoteMid LevelTeam 11-50Since 2022H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$45K - $55K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Prior Authorization Assistant

Ascertain

Role Description This is a hands-on role for someone who thrives in high-volume operational environments and is comfortable balancing individual contribution with team support. You will continue to process prior authorizations directly—often at high volume—while also serving as a go-to resource for other Ascertain Assistants. Over time, this role will evolve into a hybrid operations + technology position as workflows become increasingly automated and integrated with Ascertain’s platform. This is not a traditional healthcare shift-based, desk role. It is an outcome-driven position that rewards ownership, judgment, and follow-through. What You’ll Do: - Play a critical role in our new AI-powered prior authorization solution. - Collaborate directly with Ascertain leadership and product teams. - Work closely with healthcare providers to reduce administrative burdens and streamline detailed workflows. - Manually process authorizations and oversee automated submissions for office visit referrals, procedures, pharmaceuticals, and more. - Review and verify insurance information and patient eligibility for prior authorizations. - Communicate with healthcare providers to gather necessary medical documentation and information. - Submit prior authorization requests to insurance companies following established protocols. - Monitor and track authorization requests to ensure timely processing and resolution. - Respond to inquiries from healthcare providers, patients, and insurance companies regarding authorization status. - Maintain accurate records of authorization requests, approvals, and denials. - Collaborate with internal teams to resolve authorization issues and improve process efficiency. - Stay updated on insurance policies, regulations, and industry trends related to prior authorizations. Qualifications - 4+ years of experience with prior authorization and billing in Oncology. - Experience with athenahealth and/or NextGen. - Familiarity with major payors including UnitedHealthcare, Aetna, Blue Cross Blue Shield, etc. - Bonus if you have experience in client relationships. - Hands-on leadership roles (e.g., Team Lead, Supervisor, or informal leadership), paired with a roll-up-your-sleeves approach. - Engaging with C-suite executives. What You'll Bring to the Table: - Detail-Oriented: Meticulous in your work, catching errors and ensuring every authorization is processed accurately the first time. - Collaborative: Energized by working with others, building trust and communicating clearly with providers, teammates, and cross-functional stakeholders. - Adaptable: Comfortable shifting between manual workflows and leveraging new AI-powered tools, adjusting quickly as processes evolve. - Empathetic: Attuned to the needs of healthcare providers and patients, approaching each interaction with patience, professionalism, and understanding. - Process-Driven: Motivated by structure and consistency, following established workflows while identifying opportunities for improvement. Benefits - Cutting-edge technology: Work directly with the latest advancements in generative AI and automation, tackling challenging problems that meaningfully impact healthcare. - Ownership & growth: Join Ascertain at a pivotal early stage, shaping our products, technical direction, and culture, with significant opportunities for career advancement. - Collaborative team: Join a talented, passionate, and supportive team with backgrounds from top tech companies and clinical institutions. - Competitive compensation: We offer competitive salary, meaningful equity, comprehensive health insurance, and more. Why Ascertain? Your work will directly impact healthcare organizations and improve patient care. Join Ascertain in transforming healthcare with AI!

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