Pre-Authorization Specialist (Remote)

Pre-Authorization Specialist - Remote

Invitae joins Labcorp to further the future of genetic testing. Invitae is dedicated to bringing comprehensive genetic information into mainstream medicine to improve healthcare for billions of people! Our team is driven to make a difference for the patients we serve. We are leading the transformation of the genetics industry, by making clinical-grade genetic information affordable and accessible to guide health decisions across all stages of life.  

The Pre Authorization Specialist position is responsible for supporting the Prior Authorization program at Labcorp by assisting with pre-billing tasks required by payers as a condition of payment for services provided. The Pre Authorization Specialist reviews medical policies, completes benefit investigations, initiates prior authorizations, provides cost estimates to patients, communicates outcomes with stakeholders, identifies trends, escalates issues, and performs other billing related tasks. This individual will be on the front-lines responding to clinician and patient billing related inquiries. The individual will be expected to work cross-functionally across many departments (sales, operations, billing, and lab teams) to serve our patient and client needs.

What you’ll do:

• Be 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

Minimum requirements:

• High school diploma or equivalent 
• At least 2 years of the following: prior work experience with insurance claims, pre-authorization, and medical benefits 
• Private, quiet place to work remotely 
• High-speed internet (50mbps connectivity) 
• Basic experience with Microsoft Office (Word, Excel, Outlook) 
• Effective customer relations and time management skills 
• Excellent verbal and written communication 

Preferred qualifications: 

• Associate’s degree or higher 
• 2 or more years of experience working in LCLS and/or LCBS 
• 1 or more years of clinical laboratory RCM experience 

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Other:

• Exceptional attention to detail and organizational abilities
• Strong knowledge of medical terminology, insurance policies, and healthcare regulations
• Have 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

****Role is Remote****

Schedule is Mon -Friday 8:00 A.M.- 5:00 P.M. EST/PST (flexible within all U.S. time zones)

Application Window: Open through 10/31/2024

Pay Range: $16-$20/hr (State minimum wages apply if higher)

All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. 

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for 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.  Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only.  For more detailed information, please click here. 

Labcorp is proud to be an Equal Opportunity Employer:

As an EOE/AA employer, Labcorp strives for diversity and inclusion in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications of the individual and do not discriminate based upon race, religion, color, national origin, gender (including pregnancy or other medical conditions/needs), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic.

We encourage all to apply

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