Prior Authorization Assistant, Oncology

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Ascertain

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

☁️ SaaS

💰 $10M Series A - Ascertain on 2025-04

Artificial Intelligence • Healthcare Insurance • SaaS

Ascertain is an agentic AI-powered healthcare operations platform that automates administrative workflows such as prior authorizations, eligibility verification, referral processing, discharge planning, and denials management. Designed for provider groups, health systems, and payers, Ascertain ingests unstructured data, automates forms, integrates with legacy systems, and includes human-in-the-loop review and traceability to improve approval rates, reduce administrative burden, and accelerate patient access while demonstrating ROI in weeks.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ 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. • Competitive compensation: We offer competitive salary, meaningful equity, comprehensive health insurance, and more.