Alpaca Health

Prior Authorization Manager

United States (Remote)

Role brief

What this role is asking for.

๐Ÿ“Œ ABOUT ALPACA HEALTH Alpaca Health enables clinicians to become entrepreneurs, starting in autism care. We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians. We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM. This role is full-time, remote, and based in the United States ๐ŸŽฏ Role: Prior Authorizations Manager Responsibilities: - Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors - Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors - Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements - Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow - Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues - Own Prior Authorization out...

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