Pre Authorization Specialist - Remote
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The Pre Authorization Specialist position is responsible for supporting the Prior Authorization program at Labcorp by assisting with pre-billing tasks required by 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.
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RESPONSIBILITIES:
- Be well-versed in all pre-authorization processes and policies to respond clearly to high volume billing tasks and inquiries
- Maintain appropriate response time in various communication platforms (Example: phone calls, chats, emails, portal inquiries, etc)
- Identify issues and suggest potential improvements
- Collaborate with your team and develop best practices to ensure we are providing the best service and experience to all customers
- Maintain an assigned schedule, and be flexible with daily schedules when business needs change
- Examine incoming orders to ensure completeness and accuracy of required documentation for prior authorization
- Work directly with various vendors to ensure successful submissions of prior authorizations
- Monitor the status of prior authorization requests, follow up on pending cases, and initiate follow ups, if necessary, to ensure timely approvals
- Stay informed about insurance policies and guidelines, ensuring that all prior authorization requests align with the necessary criteria
- Maintain accurate records of prior authorization requests, approvals, and denials. Enter relevant information into databases
- Participate in projects that extend beyond your day to day to stretch you to think outside the box
REQUIREMENTS:
- High school diploma or equivalent
- Minimum 2+ years work experience in insurance claim pre-authorizations and explanation of medical benefits
- High-speed internet (50mbps connectivity)
- Private, quiet place to work remotely
- Basic experience with Microsoft Office (Word, Excel, Outlook)
- Effective customer relations and time management skills
- Excellent verbal and written communication
Preferred qualifications:
- Associate's degree or higher
- 2 or more years of experience working in LCLS and/or LCBS
- 1 or more years of clinical laboratory RCM experience
Application Window Closes: 11-21-24
Pay Range: $15.50-18.50/hr (State minimum wages apply if higher)
Shift: Monday-Friday, 8am-5pm
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only.For more detailed information, pleaseclick here.
Labcorp is proud to be an Equal Opportunity Employer:
As an EOE/AA employer, Labcorp strives for diversity and inclusion 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 of the individual and do not discriminate based upon race, religion, color, national origin, gender (including pregnancy or other medical conditions/needs), 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.
We encourage all to apply
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