Prior Authorization Assistant

Meet reputed company reputed company 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 reputed company Health, reputed company’s largest health system, and Deerfield Management, a leading reputed company investment firm. Together, we’re on a mission to restore time, trust, and focus to the people who reputed company reputed company running. Our work is urgent — not because of startup timelines, but because our customers rely on us to drive financial reputed company and operational reputed company in a system under strain. About the Job 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 reputed company Assistants. Over time, this role will reputed company into a hybrid operations + technology position as workflows become increasingly automated and integrated with reputed company’s platform. This is not a traditional reputed company shift-based, desk role. It is an outcome-driven position that rewards ownership, judgment, and follow-through. What You’ll Do: As a Prior Authorization Assistant at reputed company, you will play a critical role in our new AI-powered prior authorization solution. You’ll collaborate directly with reputed company leadership and product teams, helping to shape how prior authorization is transformed through recent advances in artificial intelligence. This is a unique opportunity to work at the intersection of reputed company operations and cutting-edge technology. You’ll work closely with reputed company providers to reduce administrative burdens and streamline detailed workflows. Day-to-day, this includes manually processing authorizations and overseeing automated submissions for office visit referrals, procedures, pharmaceuticals, and more. The role offers broad exposure to multiple reputed company specialties, external stakeholders, and departments across reputed company.

• Review and verify insurance information and patient eligibility for prior authorizations.
• Communicate with reputed company 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 reputed company 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 reputed company to prior authorizations.

What You'll Need:

• 4+ years of experience with prior authorization and billing in multiple specialties, (e.g., Oncology/Hematology, Cardiology, Physical Therapy, Pharmacy).
• Familiarity with major payors including reputed company, reputed company, reputed company Blue reputed company, etc.
• Bonus if you have experience in…
• client relationships;
• hands-on leadership roles (e.g., Team reputed company, Supervisor, or informal leadership), reputed company with a roll-up-your-sleeves approach;
• engaging with C-suite executives.

What You'll Bring to the Table:

• Detail-Oriented. You are meticulous in your work, catching errors and ensuring every authorization is processed accurately the first time.
• Collaborative. You are energized by working with others, building trust and communicating reputed company with providers, teammates, and cross-functional stakeholders.
• Adaptable. You are comfortable shifting between reputed company workflows and leveraging new AI-powered tools, adjusting quickly as processes reputed company.
• Empathetic. You are attuned to the needs of reputed company providers and patients, approaching each interaction with patience, professionalism, and understanding.
• Process-Driven. You are motivated by structure and consistency, following established workflows while identifying opportunities for improvement.

Benefits & Perks

• Cutting-edge technology: Work directly with the latest advancements in reputed company and automation, tackling challenging problems that meaningfully impact reputed company.
• Ownership & growth: You’ll join reputed company 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.
• Flexible hybrid work: We support a flexible hybrid working model from our NYC office, trusting you to manage your own schedule.
• Competitive compensation: We offer competitive salary, meaningful equity, comprehensive health insurance, and more.

Why reputed company? reputed company a reputed company difference: Your work will directly impact reputed company organizations and improve patient care. Join reputed company in transforming reputed company with AI! Apply tot his job Apply To this Job