Prior Authorization Assistant - Health Systems/Post-Acute

Ascertain

19h • Hybrid

About The Position

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.
This is not a traditional healthcare shift-based, desk role. It is an outcome-driven position that rewards ownership, judgment, and follow-through.
We are specifically looking for candidates with deep experience in post-acute and/or hospital-based prior authorization workflows, along with hands-on Epic experience. Exposure to outpatient specialty care is a strong plus.
As a Prior Authorization Assistant at Ascertain, you will play a critical role in our AI-powered prior authorization solution. You’ll collaborate closely with operations, leadership, and product teams to help shape how prior authorization is transformed through automation and AI.
You’ll partner with healthcare providers—particularly in hospital and post-acute settings—to reduce administrative burden and streamline complex workflows. Day-to-day responsibilities include both manual processing and oversight of automated submissions across services such as procedures, referrals, and medications.

Requirements

• 4+ years of prior authorization experience, including hospital-based and/or post-acute care settings (required)
• Hands-on experience working in Epic (required)
• Familiarity with major payors (UnitedHealthcare, Aetna, BCBS, etc.)
• Strong understanding of complex care transitions and authorization nuances across care settings

Nice To Haves

• Experience across multiple specialties (e.g., oncology, cardiology, rehab, pharmacy, etc.) is a plus

Responsibilities

• Review and verify insurance information and patient eligibility for prior authorizations
• Communicate with hospital teams, post-acute providers, and outpatient specialists to gather required documentation
• Submit prior authorization requests to payors using established workflows and Epic-based processes
• Monitor and track authorization requests to ensure timely processing and follow-up
• Respond to inquiries from providers, patients, and payors regarding authorization status
• Maintain accurate and detailed records of submissions, approvals, and denials
• Troubleshoot complex cases, especially those involving transitions of care (e.g., inpatient → post-acute)
• Collaborate with internal teams to improve workflows and support automation efforts
• Stay current on payor policies, Epic workflows, and industry changes

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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed