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Pre Authorization Specialist II

LCH Lab. Corp. of America Holdings

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 a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. Join us in our mission to improve health and improve lives. Labcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers and patients make informed decisions that advance care. Labcorp is seeking a REMOTE a Pre Authorization Specialist II to join our team! Work Schedule: Monday – Friday; 8:00am-5:00pm EST Responsibilities: 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 Qualifications: High school diploma with 3 or more years of experience of relevant experience. Preferred Qualifications: 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: Ability to work remotely from a private, quiet workspace Reliable high‑speed internet connection (minimum 50 Mbps) Proficiency with Microsoft Office (Word, Excel, Outlook) Strong customer service, time management, and organizational skills Excellent verbal and written communication abilities High attention to detail with the ability to manage multiple priorities Solid understanding of medical terminology, insurance guidelines, and healthcare regulations Self‑motivated, collaborative, and willing to take initiative to get work done Strong work ethic with flexibility and a commitment to supporting positive patient outcomes Enjoys problem‑solving in a fast‑paced, team‑oriented, and evolving environment Provide responsive, professional support to providers, patients, and insurance representatives regarding prior authorization status and requirements. The Pre Authorization Specialist II supports reimbursement and revenue cycle activities by conducting benefit investigations, reviewing payer medical policies, initiating, and managing prior authorizations, and providing patient cost estimates. This role partners with patients, health plans, clients, and internal stakeholders to ensure required authorization and coverage requirements are met while maintaining accurate documentation and supporting timely billing and reimbursement processes. The position is a first‑shift remote role with flexibility in scheduling based on business needs. Application Window Closes: 10/23/2026 **Pay Range: $18.00 - $25.00 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. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging 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 and merits of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), 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. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement. We believe in the power of science to change lives. Labcorp is a leading global life sciences company that provides vital information to help doctors, hospitals, pharmaceutical companies, researchers, and patients make clear and confident decisions. Through our unparalleled diagnostics and drug development capabilities, we provide insights and accelerate innovations to improve health and improve lives. Here, you can join our nearly 70,000 employees, serving clients in more than 100 countries, as we work together to transform approaches to patient care. #J-18808-Ljbffr

Vacancy posted 3 days ago
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