Prior Authorization Assistant

Prior Authorization Assistant

Aegis Ventures partners with entrepreneurs and industry leaders to launch and scale transformative companies in digital health and artificial intelligence. Our platform brings together market-shaping ideas, growth capital, and ambitious individuals to solve major societal problems. With a focus on innovations in healthcare, Aegis has launched four successful portfolio companies in partnership with Northwell Health and recently announced the Digital Consortium to co-develop, invest in, and launch new companies.

Ascertain is a healthcare technology company based in New York City, building AI agents to automate the administrative work that burdens care teams. Our platform combines structured and unstructured data with clinical logic to streamline workflows in care management and revenue cycle eliminating tedious manual tasks like prior authorizations, referrals, and documentation so clinicians and support staff can focus on patients.

We're already live in production with major health systems and have been trusted to automate high-impact workflows in complex environments. Ascertain's backers include Northwell Health, New York's largest health system, and Deerfield Management, a leading healthcare investment firm. These partnerships give us deep roots in care delivery and the long-term support to build with rigor.

We're on a mission to restore time, trust, and focus to the people who keep healthcare running. Our work is urgent not because of startup timelines, but because our customers rely on us to drive financial resilience and operational clarity in a system under strain.

About the Job

As a Prior Authorization Assistant at Ascertain, you will play a critical role in our new AI-powered prior authorization solution. You'll collaborate directly with Ascertain 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 healthcare operations and cutting-edge technology.

You'll work closely with healthcare 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 healthcare specialties, external stakeholders, and departments across Ascertain.

Ascertain is headquartered in New York City, with part of our team 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 what we build.

What You'll Do:

• Review and verify insurance information and patient eligibility for prior authorizations.
• Communicate with healthcare 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 healthcare 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 related 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 UnitedHealthcare, Aetna, Blue Cross Blue Shield, etc.
• Proven experience managing client 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 clearly with providers, teammates, and cross-functional stakeholders.
• Adaptable. You are comfortable shifting between manual workflows and leveraging new AI-powered tools, adjusting quickly as processes evolve.
• Empathetic. You are attuned to the needs of healthcare 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 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.

Salary Range: $50,000 - $75,000 base salary, depending on experience and alignment with role expectations.

Why Ascertain? Make a real difference: Your work will directly impact healthcare organizations and improve patient care. Join Ascertain in transforming healthcare with AI!