Prior Authorization Assistant, Cardiology

About the job

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.

Responsibilities

• Collaborate directly with Ascertain leadership and product teams, helping to shape how prior authorization is transformed through recent advances in artificial intelligence.
• 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.
• Maintain accurate records of authorization requests, approvals, and denials.
• Monitor and track authorization requests to ensure timely processing and resolution.
• Respond to inquiries from healthcare providers, patients, and insurance companies regarding authorization status.
• 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.

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, 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.

Qualifications

• Detail-Oriented
• Collaborative
• Adaptable
• Empathetic
• Process-Driven

Skills

• Detail-Oriented
• Collaborative
• Adaptable
• Empathetic
• Process-Driven

Benefits & Perks

• 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.
• Competitive compensation: We offer competitive salary, meaningful equity, comprehensive health insurance, and more.

Pay

$45K - $65K

Schedule

Not specified