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Prior Authorization Assistant jobs in United States
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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

Prior authorization experienceBilling knowledgeMajor payorsClient relationship managementEmpatheticProcess-drivenDetail-orientedCollaborativeAdaptable

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

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Ascertain empowers care teams with AI to reduce admin burden and streamline operations for health systems, payers & providers.

Funding

Current Stage
Early Stage
Total Funding
$17.38M
Key Investors
Deerfield Management
2025-04-22Series A· $10M
2024-03-28Seed· $7.38M

Leadership Team

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Mark Michalski
Founder and Chief Executive Officer
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John Beadle
Founding Investor and Board Member
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Company data provided by crunchbase