Reimbursement, Pre-Billing Prior Authorization Specialist

Employer
Castle Biosciences
Location
Friendswood, Texas
Salary
Negotiable
Posted
Apr 02, 2024
Closes
Apr 08, 2024
Ref
2742929761
Position Type
Staff
Hours
Full Time
Work Mode
On-site, Remote
Employment Type
Permanent
Organization Type
Academic, Corporation / LLC
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 April 16, 2024.

You won't find a work culture and benefits package like ours every day. We are filled with a team of colleagues who love working at Castle! If this sounds like the right opportunity for you in the essential biotech field, consider applying today!

EXCEPTIONAL BENEFIT PACKAGE

Excellent Annual Salary + Achievable Annual Bonus Potential 20% of Salary + 20 accrued PTO Days annually

401K with a 100% Company match of up to 6% of your allowable Contribution, and No Waiting Period

4 health care plan options, with very low premium cost + Company HSA Contribution with HDHP option + Company Stock Grant Upon Hire

A DAY IN THE LIFE OF Pre-Billing Prior Authorization Specialist,

This role will entail successfully obtaining prior authorization for our tests and filing reconsiderations in case of denials. This involves collaborating with our clients to ensure we have the necessary information for successful prior authorization. The primary activities in this role will include filing for prior authorization, submitting reconsiderations for denied authorizations, and reviewing medical records to gather necessary information for successful prior authorization.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Please see the attached job description for additional roles, responsibilities, and technical requirements.

EDUCATION/EXPERIENCE
  • Minimum Requirements
    • High School diploma or equivalent work experience required.
    • One year of required experience with insurance reimbursement for procedures/tests.
    • Minimum, 1 year of experience in a Prior Authorization role for the same company.
    • 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.
    • Typing speed of 30 or more words per minute, with 90% or greater accuracy.
    • Excellent attention to details
    • Responds timely to requests, emails, voicemails, etc.
    • Excellent communication skills and the ability to articulate clearly verbally and in writing.
    • Self-starter and self-learner with minimal supervision and the ability to stay on task while working in a remote environment.
    • The 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 display characteristics that support the Mission, Vision, and Core Values of Castle Biosciences
    • Must be able to work in an office, from our Friendswood, TX office location.
  • Preferred Requirements
    • Minimum 2-year degree preferred and/or some college preferred.
    • Preferred minimum of two years of health insurance eligibility and prior authorization experience or equivalent job experience.
    • Preferred experience collaborating with patients, providers, and insurance plans to complete the pre-billing process or equivalent job experience.
    • Experience researching and utilizing payor websites or equivalent job experience with attention to detail.
TRAVEL REQUIREMENTS
READY TO JOIN OUR BIOTECH TEAM?

We understand your time is valuable, and that is why we have a very quick and easy application process. If you feel that this would be the right position for you, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!

ABOUT CASTLE BIOSCIENCES INC.

Castle Biosciences is improving health through our innovative tests that guide patient care. For the diseases that our portfolio of tests covers, we believe the traditional approach to developing a treatment plan for cancers and other diseases using clinical and pathology factors alone is inadequate and can be improved by incorporating the personalized information our tests provide. At Castle, we aim to transform disease management by keeping people first: patients, clinicians, employees, and investors. Since our inception in 2008, we have remained focused on this vision. This foundational strategy remains the guidepost for the direction of our company and the basis of our long-term value creation. Castle Biosciences Inc, ranked by the Financial Times, Americas' Fastest-Growing Companies 2023.

The work of our employees directly influences our reputation. We are glad that our employees chose to join us, and work to ensure that they find their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of transparency and teamwork. We prioritize and encourage internal growth and professional development.

Castle Biosciences is an Equal Opportunity Employer/Veterans/Disabled.

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veterans' status and will not be discriminated against on the basis of disability.

If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail

This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.

No third-party recruiters, please

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