Prior Authorization Assistant

Job Summary

To support a high-volume operational environment, the full-time Prior Authorization Assistant will process prior authorizations, serve as a resource for team members, and collaborate on integrating AI technology into workflows, all while working remotely.

Key responsibilities

• Review and verify insurance information and patient eligibility for prior authorizations
• Communicate with healthcare providers to gather necessary medical documentation and submit prior authorization requests
• Monitor and track authorization requests to ensure timely processing and collaborate with internal teams to resolve issues

Required qualifications

• 4+ years of experience with prior authorization and billing in Sleep Medicine
• Experience with athenahealth and/or NextGen systems
• Familiarity with major payors including UnitedHealthcare, Aetna, and Blue Cross Blue Shield
• Bonus experience in client relationships or informal leadership roles
• Engagement with C-suite executives is a plus