Ascertain was looking for a Prior Authorization Assistant

Illuminate is a healthcare innovation enterprise situated in New York City, developing intelligent digital agents to alleviate administrative burdens for care teams. Our platform integrates structured and unstructured data with clinical reasoning to optimize workflows in care management and revenue processes — eliminating repetitive manual tasks like prior authorizations, referrals, and documentation so clinicians and support personnel can prioritize patient interactions. We're currently operational with significant healthcare networks and have been entrusted to automate high-impact workflows in complex environments. Illuminate's supporters include Northwell Health, New York's premier health system, and Deerfield Management, a prominent healthcare investment group. These partnerships provide us deep healthcare insights and sustained support to develop rigorously. We're committed to restoring time, trust, and focus to healthcare's backbone professionals. Our work is urgent — not due to startup timelines, but because our clients depend on us to drive financial stability and operational clarity in a strained system. About the Job As a Prior Authorization Assistant at Illuminate, you'll play a pivotal role in our innovative AI-powered authorization solution. You'll collaborate directly with leadership and product teams, helping reshape prior authorization through technological advancements. This represents a unique opportunity to operate at healthcare operations' technological frontier. You'll partner closely with healthcare providers to reduce administrative complexities and streamline intricate workflows. Daily responsibilities include manually processing authorizations and supervising automated submissions for office visit referrals, procedures, pharmaceuticals, and additional services. The role provides extensive exposure to multiple healthcare specialties, external stakeholders, and interdepartmental dynamics. Illuminate is headquartered in New York City, with partial in-person team presence. We also recruit fully remote team members nationwide, operating with a culture emphasizing high autonomy, shared accountability, and profound respect for providers and patients relying on our innovations. What You'll Do: - Review and validate insurance information and patient authorization eligibility - Communicate with healthcare providers to collect necessary medical documentation - Submit authorization requests to insurance entities following established protocols - Monitor and track authorization requests ensuring timely processing - Address inquiries from healthcare providers, patients, and insurance companies - Maintain precise records of authorization requests, approvals, and denials - Collaborate with internal teams to resolve authorization challenges - Stay current on insurance policies, regulatory changes, and industry authorization trends What You'll Need: - 4+ years experience with prior authorization and billing across multiple specialties - Comprehensive understanding of major payors like UnitedHealthcare, Aetna, Blue Cross Blue Shield - Proven track record managing client relationships and engaging executive leadership What You'll Bring to the Table: - Detail-Oriented: Meticulous approach ensuring accurate authorization processing - Collaborative: Energized by teamwork and clear communication - Adaptable: Comfortable transitioning between manual and AI-powered workflows - Empathetic: Attuned to healthcare providers' and patients' needs - Process-Driven: Motivated by structured consistency and continuous improvement Benefits & Perks: - Cutting-edge technology engagement - Significant ownership and growth opportunities - Collaborative, talented team environment - Flexible hybrid work model - Competitive compensation package Why Illuminate? Make a tangible difference: Your work will directly impact healthcare organizations and enhance patient care. Join us in revolutionizing healthcare through artificial intelligence! Compensation Range: $50K - $75K