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Ascertain
AI & Machine Learning 12h ago

Prior Authorization Assistant at Ascertain

Ascertain
United StatesUnited States
Full-time
Not Disclosed
Mid-Level

Job Description

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AI EngineerArtificial IntelligenceHealthcare OperationsPrior Authorization

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Ascertain 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 Northwell Health, New York’s largest health system, and Deerfield Management, a leading healthcare investment firm.

Together, 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.

What You’ll Do:

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.

  • 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.

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Ascertain (operating at ascertain.com) is a healthcare-specific AI automation platform engineered for streamlining administrative burdens in care management and revenue cycle workflows. Founded by an undisclosed team and headquartered in New York, NY, Ascertain tackles the inefficiencies of prior authorizations, referrals, eligibility checks, and care coordination—processes that often delay patient care and drain operational resources. Under the hood, the platform leverages agentic AI to integrate seamlessly with existing healthcare systems, executing repetitive tasks autonomously while ensuring compliance and accuracy. This allows health systems, payers, and independent provider groups to redirect their focus from administrative overhead to direct patient care. Backed by a $10 million Series A funding round led by Deerfield, Ascertain has raised a total of $17.4 million to scale its AI-driven solutions across the industry.

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Prior Authorization Assistant at Ascertain at Ascertain | HireSkys