Prior Authorization Assistant, Sleep Medicine

Ascertain, Inc.

Job Overview

Location

Remote

Job Type

Full-time

Full Job Description

📋 Description

• As a Prior Authorization Assistant at Ascertain, you will play a critical role in our new AI-powered prior authorization solution, processing high-volume authorizations while serving as a go-to resource for other team members and helping shape how prior authorization is transformed through artificial intelligence.
• You will review and verify insurance information and patient eligibility, communicate with healthcare providers to gather medical documentation, submit prior authorization requests to insurance companies, monitor and track requests for timely processing, respond to inquiries from providers, patients, and insurers, maintain accurate records, collaborate with internal teams to resolve issues and improve efficiency, and stay updated on insurance policies and industry trends.
• Ascertain is building AI agents to automate administrative work that burdens care teams, operating in major health systems and large specialty groups to save hundreds of staff hours weekly, backed by Northwell Health and Deerfield Management, with a mission to restore time, trust, and focus to healthcare workers.
• You will gain hands-on experience at the intersection of healthcare operations and cutting-edge AI technology, develop leadership and process improvement skills, collaborate with product and leadership teams, and position yourself for career growth in a rapidly scaling healthcare technology company.

🎯 Requirements

• 4+ years of experience with prior authorization and billing in Sleep Medicine
• Experience with athenahealth and/or NextGen
• Familiarity with major payors including UnitedHealthcare, Aetna, Blue Cross Blue Shield, etc.

🏖️ Benefits

• Work directly with the latest advancements in generative AI and automation
• Join at a pivotal early stage with opportunities to shape products, technical direction, and culture
• Join a talented, passionate, and supportive team with backgrounds from top tech companies and clinical institutions
• Competitive salary, meaningful equity, comprehensive health insurance, and more

Skills & Technologies

Remote

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Ascertain, Inc.

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About Ascertain, Inc.

Ascertain is a healthcare technology company that combines clinical data, artificial intelligence and operational expertise to improve health system performance. Its platform aggregates real-world clinical and claims information to generate predictive insights, optimize care pathways and measure outcomes for hospitals, payers and life-science organizations. Founded in 2022 as a joint venture between Northwell Health and Aegis Ventures, Ascertain focuses on reducing variation in care, accelerating research and enabling value-based payment models. The company delivers software tools and advisory services that translate large-scale health data into actionable strategies for quality improvement, cost reduction and population health management.

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