Ascertain · 4 months ago
Prior Authorization Assistant
Ascertain is a healthcare technology company based in New York City, focused on building AI agents to automate administrative tasks in healthcare. The Prior Authorization Assistant will play a crucial role in the AI-powered prior authorization solution, collaborating with leadership and product teams to streamline workflows and reduce administrative burdens for healthcare providers.
Artificial Intelligence (AI)Health CareMedical
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
Qualification
Required
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 UnitedHealthcare, Aetna, Blue Cross Blue Shield, etc
Proven experience managing client relationships and/or 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.
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.
Company
Ascertain
Ascertain empowers care teams with AI to reduce admin burden and streamline operations for health systems, payers & providers.
Funding
Current Stage
Early StageTotal Funding
$17.38MKey Investors
Deerfield Management
2025-04-22Series A· $10M
2024-03-28Seed· $7.38M
Leadership Team
Recent News
2025-11-27
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2025-11-14
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