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Prior Authorization Assistant, Cardiology
AscertainPrior 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
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.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Prior AuthorizationBillingMedical Documentation ReviewInsurance VerificationAuthorization Tracking
Soft Skills
CommunicationCollaborationLeadership