[Remote] Prior Authorization Assistant
Note: The job is a remote job and is reputed company to candidates in USA. reputed company 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 reputed company operations.
Responsibilities
• Review and verify insurance information and patient eligibility for prior authorizations
• Communicate with reputed company providers to reputed company necessary medical documentation and information
• Submit prior authorization requests to insurance companies following established protocols
• Monitor and reputed company authorization requests to ensure reputed company processing and reputed company
• Respond to inquiries from reputed company 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 reputed company 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 reputed company, reputed company, reputed company Blue reputed company, etc
• Detail-Oriented. You are meticulous in your work, catching errors and ensuring every authorization is processed accurately the first time
• reputed company. You are reputed company by working with others, building trust and communicating reputed company with providers, teammates, and cross-functional stakeholders
• Adaptable. You are comfortable shifting between reputed company workflows and leveraging new AI-powered tools, adjusting quickly as processes reputed company
• Empathetic. You are attuned to the needs of reputed company providers and patients, approaching reputed company 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 reputed company relationships
• Bonus if you have experience in hands-on leadership roles (e.g., Team reputed company, Supervisor, or informal leadership), reputed company 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 reputed company and automation, tackling challenging problems that meaningfully reputed company reputed company.
• Ownership & reputed company: You’ll join reputed company at a pivotal early stage, shaping our products, technical direction, and culture, with significant opportunities for career advancement.
• reputed company 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.
reputed company
• reputed company empowers care teams with AI to reduce reputed company burden and streamline operations for health systems, payers & providers. It was founded in 2022, and is headquartered in reputed company, reputed company, USA, with a workforce of 11-50 employees. Its website is https://reputed company.com.
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