Prior Authorization Specialist

May 27, 2026

<h2>📌 About Alpaca Health</h2>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 SpecialistWe 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<ul style="min-height:1.5em"><li>Own the authorization process for complex cases, with deep expertise in TRICARE (including ECHO enrollment and prior auth workflows)</li><li>Manage escalations from our prior authorizations vendor, Silna</li><li>Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements</li><li>Partner with billing and insurance ops to resolve issues quickly and cleanly</li></ul>Manage stakeholder communication<ul style="min-height:1.5em"><li>Ensure timely, clear communication across all parties: families, BCBAs, referring physicians, and internal teams</li><li>Set and manage expectations with families around timelines, documentation requirements, and next steps</li><li>Step in directly on high-stakes or escalated family situations</li></ul>Partner with operations to improve the process<ul style="min-height:1.5em"><li>Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow</li><li>Own process improvements from identification through implementation</li><li>Maintain accurate tracking and reporting across systems</li></ul>🧠 Who You Are<ul style="min-height:1.5em"><li>[REQUIRED] 5+ years of experience in ABA intake, (a specific focus on Prior Authorizations is highly preferred)</li><li>Direct experience with TRICARE authorizations, including ECHO enrollment and prior auth workflows</li><li>You are highly organized and relentless about follow-through — nothing falls through the cracks on your watch</li><li>You communicate clearly and confidently with everyone from frustrated parents to clinical staff to referring physicians</li><li>You are a problem-solver - you identify the issue and fix it</li><li>You are comfortable with ambiguity and can make good judgment calls in real time</li><li>You hold yourself to a high bar while remaining approachable and supportive</li></ul>🚀 Why Join<ul style="min-height:1.5em"><li>The opportunity to materially impact how quickly families access care</li><li>A role where operational excellence directly translates to patient outcomes</li><li>Participate in a critical function at an early-stage, fast-growing company</li><li>Join a team of rockstar performers who have built and started scaling the fastest growing company in the ABA space</li></ul>

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