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Pre-Authorization Specialist

workfromhome • Posted 4 days ago
Remote Full Time Office and Administrative Support Occupations

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

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