Pre-Authorization Specialist - Remote

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all.  You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world.  Together, let’s embrace possibilities and change lives!

Basic Purpose:
Pre Authorization Specialist payers as a condition of payment for services provided. The Pre Authorization Specialist reviews medical policies, completes benefit investigations, initiates prior authorizations, provides cost estimates to patients, communicates outcomes with stakeholders, identifies trends, escalates issues, and performs other billing related tasks. This is a first shift remote/work-from-home position with some flexibility in hours.

Duties and Responsibilities:
•      Research/review medical policies via Policy Reporter, payer websites, etc
•    Contact health plans to verify patient insurance eligibility, benefits, and coverage
•     Prepare and deliver patient cost estimates
•      Initiate prior authorization with health plans
•     Manage correspondence from clients, patients, and health plans
•     Clearly and accurately document activities related to prior authorization in prior authorization platform
•     Request missing information from patients and/or clients and follow up on requests
•    Prioritize workload based on urgency of requests
•    Provide status updates from payers on prior authorization requests
•      Other duties as assigned
Qualifications:     
•    High school diploma or equivalent required; Associates degree or higher preferred
•    Minimum 2 years combined of the following: experience with insurance claims, pre-authorization, and medical benefits required
•    Two years prior Labcorp work experience with LCLS and/or LCBS experience strongly preferred
•    Previous RCM experience preferred
•    Proficiency in Microsoft Office (Word, Excel, Outlook) preferred

OTHER desired skills:
•    Effective customer relations and time management skills necessary
•    Excellent verbal and written communication skills
•    Basic math skills (add, subtract, divide, multiply)
 

Labcorp is proud to be an Equal Opportunity Employer:

Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. 

We encourage all to apply

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