[Remote] Prior Authorization Assistant

Note: The job is a remote job and is open to candidates in USA. Ascertain is building AI agents to automate the administrative work that burdens care teams. The Prior Authorization Assistant will play a critical role in the new AI-powered prior authorization solution, collaborating with leadership and product teams to streamline workflows and reduce administrative burdens in healthcare operations.

Responsibilities
• 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

Skills
• 4+ years of experience with prior authorization and billing in multiple specialties, (e.g., Oncology/Hematology, Cardiology, Physical Therapy, Pharmacy)
• Familiarity with major payors including UnitedHealthcare, Aetna, Blue Cross Blue Shield, etc
• Detail-Oriented. You are meticulous in your work, catching errors and ensuring every authorization is processed accurately the first time
• Collaborative. You are energized by working with others, building trust and communicating clearly with providers, teammates, and cross-functional stakeholders
• Adaptable. You are comfortable shifting between manual workflows and leveraging new AI-powered tools, adjusting quickly as processes evolve
• Empathetic. You are attuned to the needs of healthcare providers and patients, approaching each interaction with patience, professionalism, and understanding
• Process-Driven. You are motivated by structure and consistency, following established workflows while identifying opportunities for improvement
• Bonus if you have experience in client relationships
• Bonus if you have experience in hands-on leadership roles (e.g., Team Lead, Supervisor, or informal leadership), paired with a roll-up-your-sleeves approach
• Bonus if you have experience engaging with C-suite executives

Benefits
• Cutting-edge technology: Work directly with the latest advancements in generative AI and automation, tackling challenging problems that meaningfully impact healthcare.
• Ownership & growth: You’ll 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.
• Flexible hybrid work: We support a flexible hybrid working model from our NYC office, trusting you to manage your own schedule.
• Competitive compensation: We offer competitive salary, meaningful equity, comprehensive health insurance, and more.

Company Overview
• Ascertain empowers care teams with AI to reduce admin burden and streamline operations for health systems, payers & providers. It was founded in 2022, and is headquartered in New York, New York, USA, with a workforce of 11-50 employees. Its website is https://ascertain.com.

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