Remote Prior Authorization Specialist

Labcorp; Burlington (NC); Remote; USD 24,000 - 26,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

401(k)

Paid Time Off

Tuition Reimbursement

Job summary

Labcorp is seeking a Pre Authorization Specialist to join a remote, United States–based team. You will conduct prior authorizations, verify benefits, and communicate with patients, health plans, and clients to expedite reimbursement.

You will review medical policies, gather documentation, and document activities in the Labcorp systems LCBS/LCLS. A strong background in RCM and payer relations is preferred, with high attention to detail and customer service excellence.

Qualifications

• High school diploma with 2+ years of experience in insurance claims processing, prior authorization, or benefits verification.
• Two years of experience documenting authorization activities in billing or revenue cycle systems.
• Two years of experience using Labcorp LCBS and/or LCLS systems.
• Two or more years of experience in Revenue Cycle Management (RCM) operations.
• One year or more using Word, Excel, and Outlook in a healthcare environment.

Responsibilities

• Research and review medical policies using Policy Reporter, payer websites, and other payer resources.
• Contact health plans to verify patient insurance eligibility, benefits, and coverage information.
• Initiate and manage prior authorization requests with health plans and payers.
• Provide status updates on prior authorization requests to internal and external stakeholders.
• Perform benefit investigations to support authorization and billing activities.
• Prepare and deliver patient cost estimates based on insurance benefits and coverage information.
• Request missing information from patients and clients and follow up to obtain required documentation.
• Manage correspondence from clients, patients, and health plans regarding authorization and coverage requests.
• Accurately document prior authorization activities within the designated prior authorization platform.
• Prioritize work activities based on request urgency and business requirements.
• Identify authorization, eligibility, and coverage issues and elevate concerns as appropriate.

Skills

Prior Authorization

Benefits Verification

Insurance Claims

Healthcare Reimbursement

Payer Communication

Education

High school diploma

Associate degree or higher in Healthcare Administration or related

Tools

Labcorp LCBS

Labcorp LCLS

Microsoft Word

Microsoft Excel

Outlook

Job description

Labcorp is seeking a Pre Authorization Specialist to join a remote, United States–based team. You will conduct prior authorizations, verify benefits, and communicate with patients, health plans, and clients to expedite reimbursement.

You will review medical policies, gather documentation, and document activities in the Labcorp systems LCBS/LCLS. A strong background in RCM and payer relations is preferred, with high attention to detail and customer service excellence.