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, 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
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