Reimbursement, Pre-Billing Prior Authorization Specialist
: Job Details :


Reimbursement, Pre-Billing Prior Authorization Specialist

Castle Biosciences

Location: Friendswood,TX, USA

Date: 2024-11-12T20:37:20Z

Job Description:
You won't find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle!Castle Biosciences Inc. is growing, and we are looking to hire a Pre-Billing Prior Authorization Specialist working from our Friendswood, TX office location, with a preferred start date of November 16, 2024. We are in search of someone who strives for excellence in their work with a positive, can-do attitude! If this sounds like the right opportunity for you in the essential biotech field, consider applying today! Learn more at EXCEPTIONAL BENEFIT PACKAGEExcellent Annual Salary + Achievable Annual Bonus Potential 20% of Salary + 20 accrued PTO Days annually401K with a 100% Company match of up to 6% of your allowable Contribution, and No Waiting Period4 health care plan options, with very low premium cost + Company HSA Contribution with HDHP option + Company Stock Grant Upon HireA DAY IN THE LIFE OF Pre-Billing Prior Authorization Specialist,This individual is responsible for all aspects of the prior authorization process, including collecting necessary documents, contacting providers and patients for additional information or assistance, and completing the required prior authorization. This position will also work closely with the Benefits Verification Team to validate patients' insurance plans. Responsibilities include submitting prior authorizations to payers, reviewing medical records creating custom prior authorization submissions, and following up with payers regarding prior authorization submissions.REQUIREMENTS
  • High school diploma or equivalent work experience required.
  • Experience researching and utilizing payor websites or equivalent job experience with attention to detail.
  • Experience collaborating with multiple teams to achieve goals.
  • Knowledge of prior authorization and its direct impact on the practice's revenue cycle.
  • Proficient in Microsoft Excel, Word, and Outlook.
  • Compiled and provided documentation and/or verbal clinical review where needed to substantiate medical necessity and obtain authorization for requested procedures.
  • Minimum of 1 year of experience in this role for the same company.
  • Typing speed of 30 or more words per minute, with 90% or greater accuracy.
  • Responds timely to requests, emails, voicemails, etc.
  • Excellent communication skills and the ability to articulate clearly, both verbally and in writing.
  • Ability to handle multiple simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner.
  • Exercises professional judgment and demonstrates good problem-resolution skills.
  • Team player with a positive attitude who is able and willing to help others.
  • Actively displays behaviors that support the mission, vision, and values of Castle Biosciences.
*Please see the attached job description for additional roles, responsibilities, and requirements.SCHEDULE
  • Monday - Friday, 8 hours per day.
TRAVEL REQUIREMENTS
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