Prior Authorization Specialist

📌 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 hundreds of patients, while growing 30% MoM. 🎯 Role: Prior Authorizations Specialist We are looking to hire a talented ABA Prior Authorizations Specialist to our Intake Team. This role is full-time, remote, and based on North American Hours of 9am- 6pm (EST) Monday to Friday. Your Key Responsibilities will be: Drive authorizations - Own the authorization process for complex cases, with deep expertise in TRICARE (including ECHO enrollment and prior auth workflows) - Manage escalations from our prior authorizations vendor, Silna - Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements - Partner with billing and insurance ops to resolve issues quickly and cleanly Manage stakeholder communication - Ensure timely, clear communication across all parties: families, B...