Job Description:
• Process prior authorizations directly, often at high volume
• Serve as a go-to resource for other Ascertain Assistants
• Oversee automated submissions for office visit referrals, procedures, pharmaceuticals, and more
• Collaborate with Ascertain leadership and product teams to shape AI-powered prior authorization workflows
• Work with healthcare providers to reduce administrative burdens and streamline workflows
• Review and verify insurance information and patient eligibility
• Gather medical documentation and information from healthcare providers
• Submit prior authorization requests to insurance companies
• Monitor and track authorization requests for timely processing and resolution
• Respond to providers, patients, and insurers regarding authorization status
• Maintain accurate authorization records, including approvals and denials
• Collaborate with internal teams to resolve authorization issues and improve process efficiency
• Stay updated on insurance policies, regulations, and industry trends
Requirements:
• 4+ years of experience with prior authorization and billing in Cardiology
• Experience with athenahealth and/or NextGen
• Familiarity with major payors including UnitedHealthcare, Aetna, and Blue Cross Blue Shield
• Experience with client relationships is a bonus
• Hands-on leadership experience, such as Team Lead, Supervisor, or informal leadership, is a bonus
• Experience engaging with C-suite executives is a bonus
• Detail-oriented, collaborative, adaptable, empathetic, and process-driven
Benefits:
• Work directly with cutting-edge generative AI and automation technology
• Significant opportunities for career advancement
• Collaborative, supportive team
• Competitive compensation
• Meaningful equity
• Comprehensive health insurance