At Trovo Health, we’re bringing scalable superhuman support to healthcare providers. Our proprietary, clinically-backed AI coordinator acts as an extension of the care team to help enhance the patient experience, improve outcomes, and operate more efficiently.
The Trovo Services Team is a network of experienced professionals who use our platform to complete care coordination workflows for our healthcare provider customers. The Trovo Services Team is fully remote.
We’re growing rapidly and are backed by Oak HC/FT – investors in leading healthcare and technology companies such as Ambience Healthcare, Devoted Health, VillageMD, CareBridge, Main Street Health, Maven Clinic, and more.
About the Role:As a Prior Authorization Specialist on the Trovo Services Team, you will be instrumental in enhancing the patient experience by securing essential insurance approvals for healthcare services using AI-enhanced workflows. You’ll collaborate with clinical teams and external partners to ensure efficient, compliant processing of prior authorization requests. This role requires expertise in healthcare authorization processes (medical and prescription) and proactive communication skills.
Responsibilities
- Coordinate and manage prior authorization requests for imaging, diagnostics, interventions, medications, and procedures.
- Liaise between providers, patients, and insurers to clarify requirements, resolve issues, and drive approval.
- Collaborate with clinical and operational teams to ensure all documentation meets insurance protocols.
- Monitor authorization statuses, proactively following up on pending cases and addressing denials or requests for additional information.
- Utilize Trovo Health’s internal tools and technology to streamline workflows and maintain accurate, up-to-date records.
- Identify and escalate patterns or barriers in the authorization process, suggesting improvements to increase efficiency.
- Communicate outcomes and next steps to providers and patients clearly and compassionately
Minimum Qualifications
- 2+ years of experience in prior authorizations, healthcare administration, or a related role in a healthcare provider setting.
- Direct experience supporting providers and other medical staff or managing authorizations, ideally in specialty care (e.g., cardiology, women’s health, gastroenterology, ophthalmology, etc.)
- Solid understanding of healthcare insurance, medical billing, and prior authorization protocols.
- Proficiency in CPT, ICD‑9, and ICD‑10 coding.
- Skilled communication and problem-solving, with the ability to manage multiple tasks and priorities effectively.
- Comfortable working with EHR systems, prior authorization portals, and healthcare software.
Strong Additional Qualifications
- Experience in a technology‑forward healthcare setting.
- Knowledge of AI applications in healthcare administration.
- Familiarity with specialty care (e.g., cardiology, urology, gastroenterology, etc.)
Compensation & Experience
- Remote work environment.
- Competitive pay of $25/hr-$35/hr based on candidate experience (initially 20-30 hours per week, with the possibility to expand up to 40 hours based on needs).
- Comprehensive onboarding, training, and technology support.
- A mission-driven culture committed to empowering clinicians and improving access to preventive care.
Trovo Health is committed to equal opportunity. We welcome applicants and independent contractors from all backgrounds and do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Top Skills
What We Do
Trovo Health uses an AI-powered platform backed by a multidisciplinary care team to allow health care providers to extend their capabilities seamlessly. Using specialty-specific workflow technology alongside expert care team members, providers can deliver new capabilities for patients, improve outcomes and operate more efficiently.
