# Prior Authorization Assistant, Cardiology

**Company:** [Ascertain](https://hotfix.jobs/companies/ascertain)
**Location:** Remote
**Role:** Other
**Salary:** $45k – $65k/yr
**Experience:** 4+ years
**Skills:** Prior Authorization, Medical Billing, Cardiology, Athenahealth, Nextgen, Insurance Verification, Patient Eligibility, Unitedhealthcare, Aetna, Blue Cross Blue Shield, Healthcare Documentation, Generative AI
**Posted:** 2026-09-09

> Processes and oversees cardiology prior authorizations, coordinates documentation with healthcare providers and payors, and helps improve AI-powered healthcare workflows. Requires 4+ years of cardiology prior authorization and billing experience plus athenahealth or NextGen proficiency.

## Job Description

## Responsibilities
- Review and verify insurance information and patient eligibility for prior authorizations.
- Communicate with healthcare providers to gather required medical documentation and information.
- Submit prior authorization requests to insurance companies for office visit referrals, procedures, pharmaceuticals, and other services.
- Monitor and track authorization requests to ensure timely processing and resolution.
- Respond to inquiries from providers, patients, and insurance companies regarding authorization status.
- Maintain accurate records of requests, approvals, and denials.
- Collaborate with internal teams to resolve authorization issues and improve process efficiency.
- Process authorizations manually and oversee automated submissions in a high-volume environment.
- Stay current on insurance policies, regulations, and prior authorization industry trends.

## Requirements
- 4+ years of prior authorization and billing experience in cardiology.
- Experience with athenahealth and/or NextGen.
- Familiarity with major payors, including UnitedHealthcare, Aetna, and Blue Cross Blue Shield.
- Strong attention to detail, collaboration, adaptability, empathy, and process discipline.

## Nice-to-haves
- Client relationship experience.
- Hands-on leadership experience, such as Team Lead, Supervisor, or informal leadership.
- Experience engaging with C-suite executives.

## Compensation and Benefits
- Salary range: $45,000–$65,000 annually.
- Meaningful equity.
- Comprehensive health insurance.
- Opportunities for career growth and advancement.
- Exposure to generative AI and automation technologies.

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