Prior Authorization Assistant - Health Systems/Post-Acute

📋 Description

• • 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.
• • Day-to-day responsibilities include reviewing and verifying insurance information and patient eligibility for prior authorizations, communicating with hospital teams, post-acute providers, and outpatient specialists to gather required documentation, submitting prior authorization requests to payors using established workflows and Epic-based processes, monitoring and tracking authorization requests to ensure timely processing and follow-up, responding to inquiries from providers, patients, and payors regarding authorization status, maintaining accurate and detailed records of submissions, approvals, and denials, troubleshooting complex cases involving transitions of care (e.g., inpatient → post-acute), collaborating with internal teams to improve workflows and support automation efforts, and staying current on payor policies, Epic workflows, and industry changes.
• • Ascertain is building AI agents to automate the administrative work that burdens care teams. We are in major health systems and large specialty groups, saving hundreds of staff hours every week. Our backers include Northwell Health, New York’s largest health system, and Deerfield Management, a leading healthcare investment firm. Together, we’re on a mission to restore time, trust, and focus to the people who keep healthcare running.
• • You will gain deep expertise in prior authorization workflows across hospital and post-acute settings, develop hands-on experience with Epic systems, contribute to the evolution of AI-powered automation in healthcare operations, and grow into a hybrid operations + technology role as Ascertain’s platform advances. This role offers ownership, judgment, and follow-through in an outcome-driven environment where your work directly impacts healthcare efficiency and patient care.