Prior Authorization Specialist

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