Reimbursement, Pre-Billing Prior Authorization Specialist (FWD) jobs in United States
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Castle Biosciences, Inc. · 3 weeks ago

Reimbursement, Pre-Billing Prior Authorization Specialist (FWD)

Castle Biosciences Inc. is growing, and they are looking to hire a Pre-Billing Prior Authorization Specialist. This role is responsible for managing the prior authorization process, ensuring accurate medical documentation, and collaborating with the Benefits Verification Team.

BiotechnologyHealth CareHealth Diagnostics
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Growth Opportunities
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Responsibilities

Responsible for all aspects of the prior authorization process, including collecting necessary documents, contacting providers and patients for additional information or assistance, and completing required prior authorizations
Works closely with the Benefits Verification Team to validate patients' insurance plans
Spend the majority of its time ensuring all pertinent medical documentation is accurate and complete prior to submission, maintaining a strong understanding of insurance company requirements and authorization/referral guidelines
Submitting and following up on assigned authorization requests, obtaining authorizations via payer websites or by phone, and regularly following up on pending cases, as well as contacting referring physician offices for additional information when needed

Qualification

Prior Authorization ProcessInsurance KnowledgeTyping SpeedAttention to DetailCollaboration Skills

Required

High school diploma or equivalent work experience required
Minimum, 1 year of experience in this role for same company
Typing speed of 35 or more words per minute, with 90% or greater accuracy
Experience researching and utilizing payor websites or equivalent job experience with attention to detail
Experience collaborating with multiple teams to achieve goals

Benefits

20 Accrued PTO Days Annually
10 Paid Holidays
401K with 100% Company Match up to 6%
3 Health Care Plan Options + Company HSA Contribution
Company Stock Grant Upon Hire
$75/month reimbursement for internet service

Company

Castle Biosciences, Inc.

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Castle Biosciences (Nasdaq: CSTL) is a leading diagnostics company improving health through innovative tests that guide patient care.

Funding

Current Stage
Public Company
Total Funding
$427.33M
Key Investors
BrightEdge FundIndustry VenturesHealthQuest Capital
2020-12-15Post Ipo Equity· $266.8M
2020-06-24Post Ipo Equity· $74M
2019-07-24Series Unknown

Leadership Team

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Derek Maetzold
President, CEO and Founder
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Company data provided by crunchbase