[Remote] Prior Authorization Assistant

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. Apply tot his job Apply To this Job