Pre-Authorization Specialist - Remote

Lensa; Raleigh (NC); Remote; USD 60,000 - 80,000; Part time

Job summary

Join a forward-thinking company dedicated to transforming healthcare with innovative solutions. As a Pre Authorization Specialist, you will play a crucial role in ensuring patients receive timely care by verifying insurance eligibility and initiating prior authorizations. This remote position offers flexibility and the chance to develop your skills in a supportive environment. With a strong emphasis on customer relations and effective communication, you will contribute to meaningful healthcare breakthroughs while enjoying comprehensive benefits and a collaborative team atmosphere. Your expertise will help shape the future of healthcare delivery.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Time Off

Tuition Reimbursement

Employee Stock Purchase Plan

Qualifications

• 2+ years experience with insurance claims and pre-authorization required.
• Effective communication skills necessary for managing client interactions.

Responsibilities

• Research medical policies and prepare patient cost estimates.
• Initiate prior authorization with health plans and manage correspondence.

Skills

Customer Relations

Time Management

Verbal Communication

Written Communication

Basic Math Skills

Education

High School Diploma

Associate's Degree

Tools

Microsoft Office

Job description

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Lensa is the leading career site for job seekers at every stage of their career. Our client, LabCorp, is seeking professionals. Apply via Lensa today!

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)
  
  

Application Window Closes: 5/9/2025

Shift: Hours Monday - Friday 8am to 5pm EST

Pay Range: $15.50 - $18.50 an hour (State minimum wages apply if higher)

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, please click here.

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

If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site (https://careers.labcorp.com/global/en/accessibility) or contact us at Labcorp Accessibility. ([e-mail]) For more information about how we collect and store your personal data, please see our Privacy Statement (https://www.labcorp.com/about/web-privacy-policy) .

Seniority level

• Seniority level

  Entry level

Employment type

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  Part-time

Job function

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  Other

• Industries

  IT Services and IT Consulting

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