Pre-Authorization Specialist (Remote)
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
About the position
The Pre Authorization Specialist at Labcorp is responsible for supporting the Prior Authorization program by assisting with pre-billing tasks required by payers for services provided. This role involves reviewing medical policies, completing benefit investigations, initiating prior authorizations, and communicating outcomes with stakeholders to ensure timely approvals and compliance with insurance policies.
Responsibilities
• Be well-versed in all 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 required
,
• A minimum of 2+ years of insurance pre-authorizations experience within a healthcare/medical billings environment is required
,
• High-speed internet (50mbps connectivity)
,
• Private, quiet place to work remotely
,
• Exceptional attention to detail and organizational abilities
,
• Strong knowledge of medical terminology, insurance policies, and healthcare regulations
,
• High energy, be a self-starter, great teammate and ready to roll up your sleeves to get things done
,
• Possess a strong work ethic and commitment to improving patients' lives while being flexible and adaptable with a drive to go above and beyond
,
• Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment
,
• Provide excellent customer service by addressing inquiries from healthcare providers, patients, and insurance representatives regarding prior authorization status and requirements
Nice-to-haves
• Experience using Google Apps, Mac OS X, and CRM applications (i.e. Salesforce) strongly preferred
,
• Associates preferred
Benefits
• Medical
,
• Dental
,
• Vision
,
• Life
,
• STD/LTD
,
• 401(k)
,
• Paid Time Off (PTO) or Flexible Time Off (FTO)
,
• Tuition Reimbursement
,
• Employee Stock Purchase Plan Apply tot his job
The Pre Authorization Specialist at Labcorp is responsible for supporting the Prior Authorization program by assisting with pre-billing tasks required by payers for services provided. This role involves reviewing medical policies, completing benefit investigations, initiating prior authorizations, and communicating outcomes with stakeholders to ensure timely approvals and compliance with insurance policies.
Responsibilities
• Be well-versed in all 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 required
,
• A minimum of 2+ years of insurance pre-authorizations experience within a healthcare/medical billings environment is required
,
• High-speed internet (50mbps connectivity)
,
• Private, quiet place to work remotely
,
• Exceptional attention to detail and organizational abilities
,
• Strong knowledge of medical terminology, insurance policies, and healthcare regulations
,
• High energy, be a self-starter, great teammate and ready to roll up your sleeves to get things done
,
• Possess a strong work ethic and commitment to improving patients' lives while being flexible and adaptable with a drive to go above and beyond
,
• Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment
,
• Provide excellent customer service by addressing inquiries from healthcare providers, patients, and insurance representatives regarding prior authorization status and requirements
Nice-to-haves
• Experience using Google Apps, Mac OS X, and CRM applications (i.e. Salesforce) strongly preferred
,
• Associates preferred
Benefits
• Medical
,
• Dental
,
• Vision
,
• Life
,
• STD/LTD
,
• 401(k)
,
• Paid Time Off (PTO) or Flexible Time Off (FTO)
,
• Tuition Reimbursement
,
• Employee Stock Purchase Plan Apply tot his job