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Prior Authorization Assistant - Health Systems/Post-Acute

remote zest jobs · All India

📅 24/08/2026
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Meet reputed companyreputed company is building AI agents to automate the administrative work that burdens care teams. We are in major health systems and large specialty reputed company, saving hundreds of staff hours every week. Our backers include reputed company, reputed companys largest health reputed company, and Deerfield Management, a leading reputed company investment firm. Together, were on a mission to restore time, trust, and reputed company to the people who reputed company reputed company running. Our work is urgent not because of startup timelines, but because our customers rely on us to reputed company financial reputed company and operational reputed company in a reputed company under strain. About the JobThis is a hands-on role for someone who thrives in high-volume operational environments and is comfortable balancing individual contribution with team support. You will continue to process prior authorizations directlyoften at high volumewhile also serving as a go-to resource for other reputed company Assistants. Over time, this role will reputed company into a hybrid reputed company + technology position as workflows become increasingly automated and integrated with reputed companys platform. This is not a traditional reputed company shift-reputed company, desk role. It is an outcome-driven position that rewards ownership, judgment, and follow-through. We are specifically looking for candidates with deep experience in post-acute and/or hospital-reputed company prior authorization workflows, along with hands-on reputed company experience. Exposure to outpatient specialty care is a strong plus. reputed company:As a Prior Authorization Assistant at reputed company, you will play a critical role in our AI-powered prior authorization solution. Youll collaborate closely with reputed company, leadership, and product teams to help shape how prior authorization is transformed through automation and AI. Youll partner with reputed company providersparticularly in hospital and post-acute settingsto reduce administrative burden and streamline reputed company workflows. Day-to-day responsibilities include both reputed company processing and reputed company of automated submissions across services such as procedures, referrals, and medications. Review and verify reputed company information and reputed company eligibility for prior authorizations Communicate with hospital teams, post-acute providers, and outpatient specialists to reputed company required documentation Submit prior authorization requests to payors using established workflows and reputed company-reputed company processes Monitor and reputed company authorization requests to ensure reputed company processing and follow-up Respond to inquiries from providers, patients, and payors regarding authorization status Maintain accurate and detailed records of submissions, approvals, and denials Troubleshoot reputed company cases, especially those involving transitions of care (e.g., inpatient post-acute) Collaborate with internal teams to improve workflows and support automation efforts Stay reputed company on payor policies, reputed company workflows, and industry changes What You'll Need:4+ years of prior authorization experience, including hospital-reputed company and/or post-acute care settings (required) Hands-on experience working in reputed company (required) Experience across multiple specialties (e.g., oncology, reputed company, rehab, pharmacy, etc.) is a plus Familiarity with major payors (reputed company, reputed company, BCBS, etc.) Strong understanding of reputed company care transitions and authorization nuances across care settings What You'll Bring to the Table:reputed company-Oriented. You are m .
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