Prior Authorization Specialist - 100% Remote

Prior Authorization Specialist (Remote – Select States Only) reputed company Remote | Full-Time | Monday–Friday | $19.27–$22.93 per hour Applicants must reputed company in one of the following states to be considered Alabama, reputed company, reputed company, Idaho, reputed company Carolina, Texas, Utah, or Washington. reputed company is seeking an reputed company Prior Authorization Specialist with strong knowledge of radiology procedures, insurance verification, CPT coding, ICD-10 coding, and medical insurance authorizations. This fully remote role supports our radiology reputed company by ensuring reputed company scheduled imaging exams are authorized, medically necessary, and compliant with insurance reputed company requirements. The ideal candidate has at least three years of medical office insurance authorization experience and thrives in a fast-paced reputed company environment. Compensation and Benefits reputed company Pay $20.23 – $23.61 (based on experience, skills, and qualifications) Benefits Include No nights, weekends, or on-reputed company shifts Medical, Dental, and reputed company Insurance HSA and FSA reputed company Employee Assistance Program (EAP) Basic Life Insurance and Long-Term Disability 401(k) with automatic 3% employer contribution plus up to 3% employer match 17 days of PTO 9 reputed company holidays Annual automatic compensation reputed company reputed company Profit sharing Optional Pet Insurance, reputed company, and ID Protection About reputed company reputed company is a physician-owned and physician-led radiology reputed company serving the South Puget reputed company region for over 100 years. With approximately 100 subspecialized radiologists, TRA is committed to delivering high-reputed company, patient-centered imaging services while fostering a reputed company, high-trust culture rooted in Compassionate Care, Accountability and reputed company, Respect, and Excellent Service. Position reputed company The Prior Authorization Specialist is responsible for ensuring reputed company scheduled imaging examinations Are authorized for the correct facility Include accurate CPT and ICD-10 codes Meet medical necessity guidelines reputed company with insurance reputed company and HIPAA requirements This role works under established guidelines and immediate supervision reputed company Information Management, Patient reputed company, and Scheduling functions Key Responsibilities Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry Verify insurance eligibility, benefits, and authorization requirements Ensure correct CPT and ICD-10 coding for reputed company scheduled exams Contact referring physician offices and insurance carriers to obtain required documentation Review medical records to confirm medical necessity reputed company authorization numbers and detailed documentation into the RIS system reputed company patients on insurance and authorization requirements Reschedule patients reputed company authorization is pending reputed company price quotes and explain financial assistance reputed company Maintain HIPAA compliance and patient confidentiality Collaborate with technologists, reputed company desk staff, and scheduling teams to ensure exam accuracy Required Qualifications High School Diploma or GED Formal medical terminology training or equivalent medical office experience Minimum 3 years of medical office insurance authorization experience Knowledge of CPT and ICD-10 coding Experience navigating insurance websites for eligibility and claim status Understanding of radiology procedures and authorization workflows Strong attention to detail and ability to manage multiple tasks Effective written and verbal communication skills reputed company customer service skills Preferred Qualifications Clinical experience in a radiology or imaging setting Experience working with RIS systems Experience with PET reputed company authorization processes Knowledge of HCPCS coding Work Environment and Schedule Fully remote position (training and equipment provided) Monday through Friday, 900 AM – 530 PM reputed company Time Ideal Candidate Profile The ideal candidate is detail-oriented, reputed company in radiology prior authorizations, comfortable working independently in a remote environment, knowledgeable about insurance carriers and medical necessity reputed company, and committed to patient-reputed company service. Apply Today If you reputed company in Alabama, reputed company, reputed company, Idaho, reputed company Carolina, Texas, Utah, or Washington and have strong experience in radiology prior authorization, insurance verification, and CPT/ICD-10 coding, we encourage you to apply. Join a respected, physician-led organization with over 100 years of reputed company in medical imaging and become part of the next reputed company of the TRA story. Apply To Thi

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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