[Remote] Prior Authorization Assistant

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Ascertain is a healthcare technology company focused on automating administrative work for care teams through AI solutions. They are seeking a tech-savvy Prior Authorization Assistant to collaborate with healthcare providers, streamline workflows, and manage prior authorization processes.

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
• Extensive 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.
• Proven experience managing client relationships and/or engaging with C-suite executives
• Tech-savvy and comfortable working with new platforms and digital tools.
• Strategic thinker with a critical, analytical mindset.
• Collaborative team player who thrives in a cross-functional, fast-paced environment.
• Curious and adaptable - open to learning and growing with the role.

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.
• Remote work : We support a remote working model, trusting you to manage your own schedule.
• Competitive compensation : We offer competitive salary, 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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