Prior Authorization Assistant

🔥 8 hours ago

🇺🇸 United States – Remote

💵 $45k - $65k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 7%

What it means: how likely this posting is sitting open without active hiring.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 • Collaborate with Ascertain leadership and product teams to shape AI-powered prior authorization workflows • Work closely with healthcare providers to reduce administrative burdens and streamline workflows • Manually process and oversee automated submissions for office visit referrals, procedures, pharmaceuticals, and more • Review and verify insurance information and patient eligibility • Gather medical documentation and information from healthcare providers • Submit prior authorization requests to insurance companies following established protocols • Monitor and track authorization requests for 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 prior-authorization industry trends

🎯 Requirements

• 4+ years of experience with prior authorization • Experience in multiple specialties, such as Oncology/Hematology, Cardiology, Physical Therapy, and Pharmacy • Experience with athenahealth and/or NextGen • Familiarity with major payors including UnitedHealthcare, Aetna, and Blue Cross Blue Shield • Bonus: experience in client relationships • Bonus: hands-on leadership roles such as Team Lead, Supervisor, or informal leadership • Bonus: experience engaging with C-suite executives • Detail-oriented, meticulous, and accurate • Collaborative and able to communicate clearly with providers, teammates, and cross-functional stakeholders • Adaptable to manual workflows and AI-powered tools • Empathetic and professional when interacting with healthcare providers and patients • Process-driven and able to follow established workflows while identifying improvements

🏖️ Benefits

• Cutting-edge technology: Work directly with the latest advancements in generative AI and automation • Ownership & growth with significant opportunities for career advancement • Collaborative team with backgrounds from top tech companies and clinical institutions • Competitive compensation • Meaningful equity • Comprehensive health insurance