Back to jobs
New

Prior Authorization Specialist

New York

About us:

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.

Create a Job Alert

Interested in building your career at Trovo Health? Get future opportunities sent straight to your email.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Select...

U.S. Standard Demographic Questions

We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.
Select...
Select...
Select...
Select...
Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Trovo Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.