Pre-Authorization Specialist

Job Summary

To support reimbursement and revenue cycle activities, the full-time remote Pre-Authorization Specialist will manage prior authorization requests, verify patient insurance eligibility, and provide patient cost estimates while collaborating with health plans and internal stakeholders.

Key responsibilities

• Research and review medical policies and initiate prior authorization requests with health plans
• Prepare patient cost estimates and manage correspondence regarding authorization and coverage requests
• Accurately document prior authorization activities and prioritize work based on urgency and business needs

Required qualifications

• High school diploma with 2 or more years of experience in insurance claims processing or prior authorization
• Experience documenting healthcare authorization activities within billing or revenue cycle management systems
• Familiarity with Labcorp systems, including LCLS and/or LCBS, is preferred
• Proficiency in Microsoft Word, Excel, and Outlook in a healthcare environment
• Associate degree or higher in a healthcare-related field is preferred