Prior Authorization Assistant

Ascertain

. Process prior authorizations directly, often at high volume .

Posted 9/29/2026full-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, including collaboration with healthcare providers and insurance companies to streamline workflows and improve efficiency. Proficient in managing high-volume authorization requests while maintaining accuracy and compliance with established protocols.

Highest-signal resume keywords

Prior Authorization ExperienceExperience With athenahealthExperience With NextGenFamiliarity With Major PayorsDetail-Oriented

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 Authorization ProcessingInsurance VerificationMedical Documentation GatheringAuthorization Request SubmissionWorkflow MonitoringProcess ImprovementHigh-Volume ProcessingClient Relationship ManagementLeadership ExperienceCross-Functional Collaboration

Soft Skills

Clear CommunicationEmpathyAdaptabilityMeticulousnessCollaboration

Industry Keywords

Healthcare ProvidersInsurance PoliciesAuthorization Status InquiriesAdministrative BurdensAI-Powered WorkflowsOncologyCardiologyPhysical TherapyPharmacyC-Suite Engagement

About the role

Key responsibilities & impact

Process prior authorizations directly, often at high volume
Serve as a go-to resource for other Ascertain Assistants
Collaborate with Ascertain leadership and product teams to shape AI-powered prior authorization workflows
Work closely with healthcare providers to reduce administrative burdens and streamline workflows
Manually process and oversee automated submissions for office visit referrals, procedures, pharmaceuticals, and more
Review and verify insurance information and patient eligibility
Gather medical documentation and information from healthcare providers
Submit prior authorization requests to insurance companies following established protocols
Monitor and track authorization requests for timely processing and resolution
Respond to authorization-status inquiries from providers, patients, and insurance companies
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 prior-authorization industry trends

Requirements

What you’ll need

4+ years of experience with prior authorization
Experience in multiple specialties, such as Oncology/Hematology, Cardiology, Physical Therapy, and Pharmacy
Experience with athenahealth and/or NextGen
Familiarity with major payors including UnitedHealthcare, Aetna, and Blue Cross Blue Shield
Bonus: experience in client relationships
Bonus: hands-on leadership roles such as Team Lead, Supervisor, or informal leadership
Bonus: experience engaging with C-suite executives
Detail-oriented, meticulous, and accurate
Collaborative and able to communicate clearly with providers, teammates, and cross-functional stakeholders
Adaptable to manual workflows and AI-powered tools
Empathetic and professional when interacting with healthcare providers and patients
Process-driven and able to follow established workflows while identifying improvements

Benefits

Comp & perks

Cutting-edge technology: Work directly with the latest advancements in generative AI and automation
Ownership & growth with significant opportunities for career advancement
Collaborative team with backgrounds from top tech companies and clinical institutions
Competitive compensation
Meaningful equity
Comprehensive health insurance