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Posted: 9/15/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in prior authorization processes, revenue cycle management, and healthcare billing practices while maintaining strong communication and organizational skills to support patient outcomes.
Highest-signal resume keywords
Prior Authorization ManagementRevenue Cycle Management (RCM)Healthcare Billing ExperienceMicrosoft Office ProficiencyCustomer Service Skills
About the role
Key responsibilities & impact- Respond to high-volume pre-authorization billing tasks and inquiries
- Maintain response times across phone, chat, email, and portal platforms
- Examine incoming orders for complete and accurate prior authorization documentation
- Work with vendors to submit prior authorizations successfully
- Monitor prior authorization requests, follow up on pending cases, and initiate follow-ups to ensure timely approvals
- Stay informed about insurance policies and guidelines
- Maintain accurate records of prior authorization requests, approvals, and denials in databases
- Conduct benefit investigations and review payer medical policies
- Initiate and manage prior authorizations
- Provide patient cost estimates
- Partner with patients, health plans, clients, providers, insurance representatives, and internal stakeholders
- Support reimbursement and revenue cycle activities, timely billing, and reimbursement processes
- Identify issues, suggest improvements, and develop team best practices
- Maintain assigned schedules and adapt to changing business needs
- Participate in projects beyond day-to-day responsibilities
- Provide responsive, professional support regarding prior authorization status and requirements
Requirements
What you’ll need- High school diploma with 3 or more years of relevant experience
- Associate degree or higher in Healthcare Administration, Business Administration, Health Information Management, or a healthcare-related field (preferred)
- 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
- 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
- Strong work ethic, flexibility, and commitment to supporting positive patient outcomes
- Problem-solving ability in a fast-paced, team-oriented, evolving environment
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- STD/LTD
- 401(k)
- Paid Time Off (PTO) or Flexible Time Off (FTO)
- Tuition Reimbursement
- Employee Stock Purchase Plan
- Remote work arrangement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior Authorization DocumentationBenefit InvestigationsHealthcare RegulationsMedical TerminologyBilling Systems ExperienceReimbursement ProcessesData Entry AccuracyInsurance GuidelinesAuthorization SystemsLabcorp Systems Experience
Soft Skills
Time ManagementOrganizational SkillsVerbal CommunicationWritten CommunicationProblem-Solving Ability
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft OutlookLCLSLCBS
Industry Keywords
Healthcare AdministrationRevenue Cycle ManagementPatient Cost EstimatesInsurance PoliciesHealthcare-related Field