Pre-Authorization Specialist I

Job not on LinkedIn

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $17 - $19 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Labcorp

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

💊 Pharmaceuticals

🧬 Biotechnology

💰 $2G Post-IPO Debt - LabCorp on 2024-09

Healthcare • Pharmaceuticals • Biotechnology

Labcorp is a global leader in laboratory services, diagnostics, and drug development. The company provides testing, data and scientific insights to doctors, hospitals, pharmaceutical companies, researchers and patients, reaching more than 160 million patients annually. Labcorp operates a large global laboratory footprint with roughly 71,000 employees across 100+ countries and invests in advanced technologies (including AI and digital solutions) to accelerate drug development, support precision medicines (such as cell and gene therapies and oncology diagnostics), and inform clinical decision-making.

📋 Description

• Research and review medical policies using Policy Reporter, payer websites, and other payer resources • Contact health plans to verify patient insurance eligibility, benefits, and coverage information • Initiate and manage prior authorization requests with health plans and payers • Provide prior authorization status updates to internal and external stakeholders • Perform benefit investigations supporting authorization and billing activities • Prepare and deliver patient cost estimates based on insurance benefits and coverage information • Request missing information and follow up with patients and clients to obtain required documentation • Manage correspondence from clients, patients, and health plans regarding authorization and coverage requests • Accurately document prior authorization activities in the designated platform • Prioritize work based on request urgency and business requirements • Identify authorization, eligibility, and coverage issues and escalate concerns • Perform additional billing-related duties and other assigned responsibilities • Support reimbursement and revenue cycle activities and timely billing processes

🎯 Requirements

• High school diploma • 2 or more years of experience in insurance claims processing, prior authorization, medical benefits verification, or healthcare reimbursement operations • Preferred associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field • Preferred 2 or more years documenting healthcare authorization activities within authorization, billing, reimbursement, or revenue cycle management systems • Preferred 2 or more years working with Labcorp systems, including LCLS and/or LCBS • Preferred 2 or more years of experience in Revenue Cycle Management (RCM) operations • Preferred 1 or more years using Microsoft Word, Excel, and Outlook in a healthcare, reimbursement, billing, or authorization environment • Effective customer service and customer relations practices • Verbal and written communication of authorization outcomes, benefit information, and status updates • Time management and workload prioritization • Ability to perform basic mathematical calculations • Attention to detail when reviewing medical policies, benefits information, authorization requirements, and documentation • Ability to collaborate with patients, clients, health plans, and internal teams • Ability to escalate authorization, eligibility, coverage, and reimbursement concerns according to established procedures • Ability to work Monday–Friday, first shift, 8:00–5:00 Central time

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability (STD) • Long-term disability (LTD) • 401(k) plan • Paid Time Off (PTO) or Flexible Time Off (FTO) • Tuition Reimbursement • Employee Stock Purchase Plan • Flexible hours based on business needs