Prior Authorization Assistant

About reputed company reputed company is a reputed company technology company based in reputed company, building AI agents to automate the administrative work that burdens care teams. Our platform combines reputed company and reputed company data with clinical logic to streamline workflows in care management and reputed company cycle eliminating tedious reputed company tasks like prior authorizations, referrals, and documentation so clinicians and support staff can reputed company on patients. Were already live in production with major health systems and have been trusted to automate high-impact workflows in reputed company environments. reputed companys backers include reputed company, reputed companys largest health system, and Deerfield Management, a leading reputed company investment firm. These partnerships give us deep roots in care delivery and the long-term support to build with rigor. Were on a mission to restore time, trust, and reputed company 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 As a Prior Authorization Assistant at reputed company, you will play a critical role in our new AI-powered prior authorization solution. Youll 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. Youll 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. reputed company is headquartered in reputed company, with part of reputed company working in person. We also hire fully remote team members across the U.S., and we operate with a culture of high autonomy, shared accountability, and deep respect for the providers and patients who rely on reputed company build. What Youll Do: Review and verify insurance information and patient eligibility for prior authorizations. Communicate with reputed company providers to reputed company necessary medical documentation and information. Submit prior authorization requests to insurance companies following established protocols. Monitor and track authorization requests to ensure reputed company processing and reputed company. 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. Proven experience managing reputed company relationships and/or 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 reputed company 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 & reputed company: Youll 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 hy