Reimbursement, Pre-Billing Prior Authorization Specialist

Reimbursement, Pre-Billing Prior Authorization Specialist

Castle Biosciences Earns a Top Workplaces USA Award for the Third Consecutive Year!

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 www.CastleBiosciences.com

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 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

• <5% as needed for training and meetings.

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.

At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes.

Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds 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 trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.

If you are interested in making a difference in the lives of patients while doing something that inspires you, Castle may be the right place for you. Castle Biosciences was ranked #188 by the Financial Times in 2023 as one of Americas' Fastest-Growing Companies.

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 ReasonableAccommodationsRequest@castlebiosciences.com.

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

Full Job Description