Pre-Authorization Specialist - Remote

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

Job summary

Laboratory Corporation seeks a Pre Authorization Specialist to review medical policies and facilitate prior authorizations. This remote position offers flexibility and focuses on verifying insurance benefits and managing communications with health plans. Qualified candidates should have a high school diploma, with relevant experience in insurance claims and customer service.

Benefits

Medical

Dental

Vision

Life insurance

401(k)

Paid Time Off (PTO)

Tuition Reimbursement

Employee Stock Purchase Plan

Qualifications

• Minimum 2 years experience with insurance claims, pre-authorization, and medical benefits required.
• Previous RCM experience preferred.
• Labcorp work experience with LCLS and/or LCBS strongly preferred.

Responsibilities

• Research/review medical policies via Policy Reporter and payer websites.
• Prepare and deliver patient cost estimates.
• Manage correspondence from clients, patients, and health plans.

Skills

Customer relations

Time management

Verbal communication

Written communication

Education

High school diploma or equivalent

Associates degree or higher preferred

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

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: 6-27-2025

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

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