Ascertain Prior Authorization Assistant at Ascertain to process prior authorizations for imaging and radiology, collaborating with providers and teams to reduce administrative burden. Role evolves into hybrid operations and technology position.
Responsibilities
This is not a traditional healthcare shift-based desk role. It is an outcome-driven position that rewards ownership, judgment, and follow-through.
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 radiology practices and imaging centers to reduce administrative burden and streamline complex workflows. Day to day, this includes manually processing authorizations and overseeing automated submissions for advanced imaging (MRI, CT, PET, nuclear medicine), diagnostic and interventional radiology procedures, and related referrals. The role offers broad exposure to multiple specialties, external stakeholders, and departments across Ascertain.
Review and verify insurance information and patient eligibility for imaging and radiology prior authorizations
Work with ordering providers and imaging teams to gather clinical documentation, including indications, prior imaging, and supporting records
Submit prior authorization requests to payors following established protocols and payor-specific imaging guidelines
Monitor and track requests to ensure timely processing and resolution, including scheduling-sensitive and urgent studies
Respond to inquiries from providers, patients, and payors about authorization status
Manage denials and peer-to-peer requests, and support appeals where needed
Maintain accurate records of authorization requests, approvals, and denials
Collaborate with internal teams to resolve authorization issues and improve process efficiency
Stay current on payor policies, radiology benefit manager (RBM) requirements, regulations, and industry trends affecting imaging authorizations
Qualification
Familiarity with major payorsHands-on leadership experience (eWhat You’ll Bring to the TableDetail-orientedCollaborativeAdaptableEmpatheticProcess-drivenWhy Ascertain? Make a real difference
Required
4+ years of experience with prior authorization and billing in radiology and/or diagnostic imaging
Experience with athenahealth and/or NextGen
Familiarity with major payors, including UnitedHealthcare, Aetna, and Blue Cross Blue Shield, and with radiology benefit managers such as EviCore and Carelon (formerly AIM)
Experience with prior authorization and billing in oncology, including oncologic imaging and PET/CT
Hands-on leadership experience (e.g., Team Lead, Supervisor, or informal leadership), paired with a roll-up-your-sleeves approach
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 new AI-powered tools, adjusting quickly as processes evolve.
Empathetic. You are attuned to the needs of 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.
Why Ascertain? Make a real difference: Your work will directly impact healthcare organizations and improve patient care. Join Ascertain in transforming healthcare with AI!
