Pre Authorization Specialist- Buffalo, NY at Labcorp

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Pre Authorization Specialist- Buffalo, NY

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Location Buffalo, New York Job ID 21-93558
In July of 2021, Labcorp exercised their option to acquire OmniSeq; a commercial, CAP accredited, CLIA, ISO 13485:2016 and NY State CLEP licensed clinical laboratory in Buffalo, NY. We utilize next generation sequencing (NGS) technologies through a NYS CLEP approved comprehensive molecular profiling panel. Our team is growing and excited to now operate as a critical piece of the Labcorp mission to improve health and improve lives by connecting insights from patients, practitioners, clinical trials, health systems and managed care partners through the promise of precision medicine.
Responsibilities:

Insurance Verification and Authorization

  • Verify benefits through insurance online portals and phone systems
  • Authorization request preparation and submission
  • Follow up on open auth requests
  • Obtain clinical information necessary to support medical necessity
  • Compile and submit appeals for denied prior authorization
  • Document insurance benefits and prior auth results
  • Locate and review payer medical policy, identify areas of change
  • Identify opportunities for payer education to develop medical policy
  • On the job training available
  • Great opportunity to develop career path in healthcare administration
If you are looking to start your career path in healthcare administration within patient care, this is the opportunity for you!

Requirements

Required: High School or equivalent and with a minimum of 2 years of experience in a medical office setting.

Shift

1

Schedule

Monday-Friday; 8:30am-5:00pm
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Location

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