[Hiring] Prior Authorization Assistant @Ascertain

Role Description

This is a hands-on role for someone who thrives in high-volume operational environments and is comfortable balancing individual contribution with team support. You will continue to process prior authorizations directly—often at high volume—while also serving as a go-to resource for other Ascertain Assistants. Over time, this role will evolve into a hybrid operations + technology position as workflows become increasingly automated and integrated with Ascertain’s platform. This is not a traditional healthcare shift-based, desk role. It is an outcome-driven position that rewards ownership, judgment, and follow-through.

What You’ll Do:

• Play a critical role in our new AI-powered prior authorization solution.
• Collaborate directly with Ascertain leadership and product teams.
• Work closely with healthcare providers to reduce administrative burdens and streamline detailed workflows.
• Manually process authorizations and oversee automated submissions for office visit referrals, procedures, pharmaceuticals, and more.
• 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.

Qualifications

• 4+ years of experience with prior authorization and billing in Cardiology.
• 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.

What You'll Bring to the Table:

• Detail-Oriented: Meticulous in your work, catching errors and ensuring every authorization is processed accurately the first time.
• Collaborative: Energized by working with others, building trust and communicating clearly with providers, teammates, and cross-functional stakeholders.
• Adaptable: Comfortable shifting between manual workflows and leveraging new AI-powered tools, adjusting quickly as processes evolve.
• Empathetic: Attuned to the needs of healthcare providers and patients, approaching each interaction with patience, professionalism, and understanding.
• Process-Driven: Motivated by structure and consistency, following established workflows while identifying opportunities for improvement.

Benefits

• Cutting-edge technology: Work directly with the latest advancements in generative AI and automation, tackling challenging problems that meaningfully impact healthcare.
• Ownership & growth: 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.