Prior Authorization Specialist

Job Summary

Working remotely on a full-time basis, the Prior Authorization Specialist will manage prior authorization requests, verify benefits, and support billing inquiries while ensuring compliance with payer requirements and medical policies.

Key responsibilities

• Initiate and manage prior authorization requests, ensuring documentation completeness and adherence to payer guidelines
• Respond to billing-related inquiries and provide updates on prior authorization statuses to providers and patients
• Maintain accurate records of prior authorization activities and identify opportunities for process improvements

Required qualifications

• High School diploma or equivalent with a minimum of 2 years of relevant experience
• Successful completion of Labcorp training sessions, including Medical Terminology, Anatomy, and Physiology
• Experience in Clinical Laboratory Revenue Cycle Management (RCM) operations is preferred
• Familiarity with Microsoft Word, Excel, and Outlook in a healthcare reimbursement or billing context
• Knowledge of medical terminology, insurance guidelines, and healthcare regulations