Prior Authorization Specialist
At Alpaca Health · Philippines
Salary: US$500–1,000 a month
- Full-time
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Where you can work from
Open to the Philippines
“Philippines”
From the location.
Working hours
US hours
“This role is full-time, remote, and based on North American Hours of 9am- 6pm (EST) Monday to Friday.”
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- Posted
- 2 November 2026
- First seen by us
- 3 November 2026
- Last checked
- 4 hours ago
Job description
From Alpaca Health’s job post, as they wrote it.
📌 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.
Read the full description
🎯 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, BCBAs, referring physicians, and internal teams
* Set and manage expectations with families around timelines, documentation requirements, and next steps
* Step in directly on high-stakes or escalated family situations
Partner with operations to improve the process
* Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
* Own process improvements from identification through implementation
* Maintain accurate tracking and reporting across systems
🧠 Who You Are
* [REQUIRED] 5+ years of experience in ABA intake, (a specific focus on Prior Authorizations is highly preferred)
* Direct experience with TRICARE authorizations, including ECHO enrollment and prior auth workflows
* You are highly organized and relentless about follow-through — nothing falls through the cracks on your watch
* You communicate clearly and confidently with everyone from frustrated parents to clinical staff to referring physicians
* You are a problem-solver - you identify the issue and fix it
* You are comfortable with ambiguity and can make good judgment calls in real time
* You hold yourself to a high bar while remaining approachable and supportive
🚀 Why Join
* The opportunity to materially impact how quickly families access care
* A role where operational excellence directly translates to patient outcomes
* Participate in a critical function at an early-stage, fast-growing company
* Join a team of rockstar performers who have built and started scaling the fastest growing company in the ABA space
Prior Authorization SpecialistAlpaca Health
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