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

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Labcorp

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1969

💼 Consulting

📦 Logistics

🏥 Healthcare

💰 Post-IPO Debt on 2019-06

Consulting • Logistics • Healthcare

Labcorp is a leading global life sciences company that provides comprehensive clinical laboratory and end-to-end drug development services. The company offers a wide range of diagnostic tests and services for patients, providers, and biopharmaceutical companies. Labcorp specializes in areas such as oncology, women's health, neurology, and genetics, offering both routine and specialized laboratory testing. It supports healthcare systems and organizations with clinical lab testing, health assessments, and employee wellness programs. Labcorp also plays a significant role in the biopharma sector, providing nonclinical research, central laboratory services, and consulting for drug development and commercialization. With their commitment to science and innovation, Labcorp aims to improve health and change lives worldwide.

📋 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 status updates on prior authorization requests to internal and external stakeholders • Perform benefit investigations to support authorization and billing activities • Prepare and deliver patient cost estimates based on insurance benefits and coverage information • Request missing information from patients and clients and follow up to obtain required documentation • Manage correspondence from clients, patients, and health plans regarding authorization and coverage requests • Accurately document prior authorization activities within the designated prior authorization platform • Prioritize work activities based on request urgency and business requirements • Identify authorization, eligibility, and coverage issues and escalate concerns as appropriate • Perform additional billing-related duties and other responsibilities as assigned • Support reimbursement and revenue cycle activities while maintaining accurate documentation and supporting timely billing and reimbursement processes

🎯 Requirements

• High school diploma with 2 or more years of experience in insurance claims processing, prior authorization, medical benefits verification, or healthcare reimbursement operations • 2 or more years of experience documenting healthcare authorization activities within authorization, billing, reimbursement, or revenue cycle management systems • 2 or more years of experience working with Labcorp systems, including LCLS and/or LCBS • 2 or more years of experience in Revenue Cycle Management (RCM) operations • 1 or more years of experience 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 skills • Time management and workload prioritization skills • Ability to perform basic mathematical calculations including addition, subtraction, multiplication, and division • 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 • Preferred: Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field

🏖️ Benefits

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