Prior Authorization Assistant, Cardiology

Ascertain

Prior Authorization Assistant supporting AI-powered prior authorization solution at Ascertain. Collaborating with healthcare teams to enhance administrative workflow efficiency.

Posted 6/29/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $45,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization processes and billing within Cardiology, with a strong focus on maintaining compliance with insurance policies and regulations. Proven ability to communicate effectively with healthcare providers and insurance companies to ensure timely processing of authorization requests.

Highest-signal resume keywords

Prior Authorization ExperienceBilling Expertise in CardiologyAthenahealth ProficiencyNextGen FamiliarityClient Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Prior AuthorizationBillingMedical Documentation ReviewInsurance VerificationAuthorization Tracking

Soft Skills

CommunicationCollaborationLeadership

Tools & Technologies

AthenahealthNextGen

Industry Keywords

Insurance PoliciesPatient EligibilityAuthorization RequestsHealthcare ProvidersMajor Payors

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & 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.