Prior Authorization Assistant, Oncology

🕒 September 15

🇺🇸 United States – Remote

💵 $45k - $65k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 41%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ascertain

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

🏥 Healthcare

💼 Consulting

🤖 Artificial Intelligence

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

Healthcare • Consulting • Artificial Intelligence

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

• Process prior authorizations directly, often at high volume • Serve as a go-to resource for other Ascertain Assistants • Manually process authorizations and oversee automated submissions for office visit referrals, procedures, pharmaceuticals, and more • Review and verify insurance information and patient eligibility • Communicate with healthcare providers to gather medical documentation and information • Submit prior authorization requests to insurance companies • Monitor and track authorization requests through timely processing and resolution • Respond to authorization-status inquiries from providers, patients, and insurance companies • 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 • Collaborate with Ascertain leadership and product teams to help shape AI-powered prior authorization workflows

🎯 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, and Blue Cross Blue Shield • Client relationship experience is a bonus • Hands-on leadership experience is a bonus • Experience engaging with C-suite executives is a bonus • Detail-oriented, accurate authorization processing • Collaborative communication with providers, teammates, and cross-functional stakeholders • Adaptability to manual workflows and AI-powered tools • Familiarity with structured processes and process improvement

🏖️ Benefits

• Meaningful equity • Comprehensive health insurance • Cutting-edge technology and exposure to generative AI and automation • Significant opportunities for career advancement • Collaborative, supportive team • Competitive compensation

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