Prior Authorization Specialist I - Remote

Labcorp • Burlington, NC

2d • $18 - $20 • Remote

About The Position

Labcorp is seeking a Remote Prior Authorization Specialist I to join our team! Work Schedule: Monday - Friday 8:00 AM - 5:00 PM EST The Prior Authorization Specialist supports Labcorp’s Prior Authorization program by completing payer‑required pre‑billing activities to ensure timely and accurate payment for services. This role reviews medical policies, initiates prior authorizations, performs benefit investigations, provides patient cost estimates, and responds to billing‑related inquiries from clinicians and patients while collaborating with Sales, Operations, Billing, and Lab teams to support patient and client needs. At Labcorp we have a passion for helping people live happy and healthy lives. Every day, we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then Labcorp could be a great next career step!

Requirements

• High school diploma or GED or equivalent
• 1 year or more years insurance claims or pre-authorization or medical benefits work experience
• 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

Nice To Haves

• Associate’s degree
• 1 year or more clinical laboratory Revenue Cycle Management (RCM) experience

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
• Provide responsive, professional support to providers, patients, and insurance representatives regarding prior authorization status and requirements

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED