[Hiring] Prior Authorization Specialist I @Labcorp

Role Description Labcorp is seeking a Remote Prior Authorization Specialist I to join our team! • Work Schedule Monday - Friday 800 AM - 500 PM EST • Well-versed in pre-authorization 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. • Qualifications • High school diploma or GED or equivalent. • 1 year or more years insurance claims or pre-authorization or medical benefits work experience. • Requirements • Associate’s degree (preferred). • 1 year or more clinical laboratory Revenue Cycle Management (RCM) experience (preferred). • Ability to work remotely from a private, quiet workspace. • Reliable high‑speed internet connection (minimum 50 Mbps). • Proficiency with Microsoft Office (Word, Excel, Outlook). • Strong customer service, time management, and organizational skills. • Excellent verbal and written communication abilities. • High attention to detail with the ability to manage multiple priorities. • Solid understanding of medical terminology, insurance guidelines, and healthcare regulations. • Self‑motivated, collaborative, and willing to take initiative to get work done. • Strong work ethic with flexibility and a commitment to supporting positive patient outcomes. • Enjoys problem‑solving in a fast‑paced, team‑oriented, and evolving environment. • Provide responsive, professional support to providers, patients, and insurance representatives regarding prior authorization status and requirements. • Benefits • 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 for employees regularly scheduled to work 20 or more hours per week. • Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. • Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. Apply To This Job Apply To This Job