Pre Authorization Specialist II
New
L
LabcorpHealthcare authorization
Source API remote eligibility restrictions: United States, Monday – Friday; 8:00am-5:00pm ESTFull-TimeMiddle
Salary18 - 25 USD per year
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Job Details
- Experience
- 3 or more years of experience of relevant experience.
- Required Skills
- Microsoft Excel
Requirements
- High school diploma.
- At least 3 years of relevant experience.
- Proficiency with Microsoft Word, Excel, and Outlook.
- Ability to work remotely from a private, quiet workspace.
- Reliable high-speed internet connection of at least 50 Mbps.
- Knowledge of medical terminology, insurance guidelines, and healthcare regulations.
- Strong customer service, time management, and organizational skills.
- High attention to detail and ability to manage multiple priorities.
- Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field preferred.
- At least 2 years documenting healthcare authorization activities in authorization, billing, reimbursement, or revenue cycle management systems preferred.
- At least 2 years working with Labcorp systems, including LCLS and/or LCBS, preferred.
- At least 2 years of Revenue Cycle Management operations experience preferred.
Responsibilities
- Examine incoming orders for completeness and accuracy of prior authorization documentation.
- Work with vendors to submit prior authorizations.
- Monitor authorization requests, follow up on pending cases, and initiate follow-ups as needed.
- Review payer medical policies and insurance guidelines to ensure requests meet required criteria.
- Conduct benefit investigations and provide patient cost estimates.
- Maintain accurate records of authorization requests, approvals, and denials in databases.
- Respond to providers, patients, and insurance representatives regarding authorization status and requirements.
- Identify issues, suggest improvements, and collaborate with the team on best practices.
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