Pre Authorization Specialist II

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $18 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Respond to high-volume billing tasks and inquiries using pre-authorization processes and policies • Maintain response times across phone, chat, email, and portal platforms • Identify issues and suggest potential improvements • Collaborate with the team and develop best practices • Maintain an assigned schedule and adjust to changing business needs • Examine incoming orders for completeness and accuracy of prior authorization documentation • Work with vendors to submit prior authorizations successfully • Monitor prior authorization requests, follow up on pending cases, and initiate additional follow-ups as needed • Stay informed about insurance policies and guidelines • Maintain accurate records of authorization requests, approvals, and denials in databases • Participate in projects beyond day-to-day responsibilities • Provide responsive, professional support to providers, patients, and insurance representatives • Conduct benefit investigations, review payer medical policies, initiate and manage prior authorizations, and provide patient cost estimates • Partner with patients, health plans, clients, and internal stakeholders to meet authorization and coverage requirements • Support timely billing and reimbursement processes

🎯 Requirements

• High school diploma with 3 or more years of relevant experience • Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field (preferred) • 2 or more years of experience documenting healthcare authorization activities within authorization, billing, reimbursement, or revenue cycle management systems (preferred) • 2 or more years of experience 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 of experience using Microsoft Word, Excel, and Outlook in a healthcare, reimbursement, billing, or authorization environment (preferred) • Ability to work remotely from a private, quiet workspace • Reliable high-speed internet connection (minimum 50 Mbps) • Proficiency with Microsoft Office (Word, Excel, Outlook) • Strong customer service, time management, and organizational skills • Excellent verbal and written communication abilities • High attention to detail with the ability to manage multiple priorities • Solid understanding of medical terminology, insurance guidelines, and healthcare regulations • Self-motivated, collaborative, and willing to take initiative • Strong work ethic, flexibility, and commitment to supporting positive patient outcomes • Problem-solving ability in a fast-paced, team-oriented, and evolving environment

🏖️ 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