Pre-Authorization Specialist I - Remote, United States

Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world’s most important health challenges. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global scale and deep expertise, you’ll have the opportunity to do meaningful work, grow your career and make a real impact on people’s health around the world. Together, we’re improving health and improving lives. Labcorp is seeking a Pre-Authorization Specialist (Remote, United States) Work Schedule First shift, Monday – Friday 8-5 Central time zone Remote/work-from-home position with flexibility in hours based on business needs. Work Location REMOTE Job Responsibilities Prior Authorization & Benefits Verification Research and review medical policies using Policy Reporter, payer websites, and other payer resources. Contact health plans to verify patient insurance eligibility, benefits, and coverage information. Initiate and manage prior authorization requests with health plans and payers. Provide status updates on prior authorization requests to internal and external stakeholders. Perform benefit investigations to support authorization and billing activities. Patient & Client Support Prepare and deliver patient cost estimates based on insurance benefits and coverage information. Request missing information from patients and clients and follow up to obtain required documentation. Manage correspondence from clients, patients, and health plans regarding authorization and coverage requests. Documentation & Operational Support Accurately document prior authorization activities within the designated prior authorization platform. Prioritize work activities based on request urgency and business requirements. Identify authorization, eligibility, and coverage issues and escalate concerns as appropriate. Perform additional billing-related duties and other responsibilities as assigned.

High school diploma with 2 or more years of experience in insurance claims processing, prior authorization, medical benefits verification, or healthcare reimbursement operations.

Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field. 2 or more years of experience documenting healthcare authorization activities within authorization, billing, reimbursement, or revenue cycle management systems 2 or more years of experience working with Labcorp systems, including LCLS and/or LCBS. 2 or more years of experience in Revenue Cycle Management (RCM) operations. 1 or more years of experience using Microsoft Word, Excel, and Outlook in a healthcare, reimbursement, billing, or authorization environment. Additional Job Standards Demonstrate effective customer service and customer relations practices when interacting with patients, clients, payers, and internal stakeholders. Communicate authorization outcomes, benefit information, and status updates through verbal and written communications. Apply time management practices to prioritize workload and meet established service levels. Perform basic mathematical calculations including addition, subtraction, multiplication, and division. Maintain attention to detail when reviewing medical policies, benefits information, authorization requirements, and documentation. Collaborate with patients, clients, health plans, and internal teams to obtain required information and resolve authorization-related issues. Escalate