Reimbursement, Pre-Billing Prior Authorization Specialist (FWD) jobs in United States
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Castle Biosciences, Inc. · 1 month ago

Reimbursement, Pre-Billing Prior Authorization Specialist (FWD)

Castle Biosciences Inc. is a growing biotechnology company focused on improving health through innovative tests that guide patient care. They are seeking a Pre-Billing Prior Authorization Specialist who will manage the prior authorization process and work closely with the Benefits Verification Team to ensure accurate medical documentation and validation of patients' insurance plans.

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
Work closely with the Benefits Verification Team to validate patients' insurance plans
Ensure all pertinent medical documentation is accurate and complete prior to submission
Maintain a strong understanding of insurance company requirements and authorization/referral guidelines
Submit and follow up on assigned authorization requests
Obtain authorizations via payer websites or by phone
Regularly follow up on pending cases
Contact referring physician offices for additional information when needed

Qualification

Prior Authorization ProcessInsurance KnowledgeTyping Speed 35 WPMAttention 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

Excellent Annual Salary + 20% Bonus Potential
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