Key skills
CAIGenerative AILeadership
About this role
Role Overview
- 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
- 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
- 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.