Pre-Authorization Specialist - Remote

Labcorp; Raleigh (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company seeks a Pre-Authorization Specialist to join their remote team. The role involves verifying insurance eligibility, initiating prior authorizations, and delivering patient cost estimates. Candidates should have at least two years of relevant experience and possess excellent communication and customer relations skills.

Benefits

Medical benefits

Dental benefits

Vision benefits

401(k)

Paid Time Off

Tuition Reimbursement

Employee Stock Purchase Plan

Qualifications

• Minimum 2 years of experience with insurance claims, pre-authorization, and medical benefits.
• Previous RCM experience preferred.

Responsibilities

• Research and review medical policies via payer websites.
• Contact health plans to verify patient eligibility and coverage.
• Prepare and deliver patient cost estimates.

Skills

Customer relations

Time management

Verbal communication

Written communication

Basic math skills

Education

High school diploma or equivalent

Associate's degree or higher (preferred)

Tools

Microsoft Office

Job description

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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!

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.

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
  
  

Requirements

• 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: 6/16/2025

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, pleaseclick 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 or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

2515686

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance

• Industries

  Hospitals and Health Care

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