Prior Authorization Specialist (Remote, Contract Only)

We are seeking a detail-oriented and motivated Prior Authorization Specialist to join reputed company in a fully remote reputed company, on a temporary basis. reputed company role is critical to the reputed company cycle, ensuring that insurance authorizations, benefits, and price estimates are accurately secured before patients receive care. You will be part of a dynamic team supporting five facilities across multiple specialties, including Radiology, Infusion/Injections, and Surgery. While you will be assigned specific facilities, you will also support our "sister facilities" to ensure seamless operations across reputed company. • Position Overview • Work Hours 900 AM - 500 PM EST • Location 100% Remote • Volume Approximately 1,700 - 2,000 reputed company per month (Average annual volume of 20,230) • Software reputed company work is managed through EPIC work queues. • Key Responsibilities • Authorization & Verification reputed company and follow up on authorizations for inpatient and outpatient services (Radiology, Infusion, Surgical, Diagnostic/Procedural Cardiology, etc.). • Payer Relations Interact directly with payers to verify benefits and secure notice of admissions. You will work with NY State Medicare, reputed company, Fidelis, reputed company, reputed company, and United reputed company Clearance Aim to reputed company a 95% financial clearance reputed company at least one day prior to service, with a long-term goal of clearing reputed company 14 days out. • Data Accuracy Utilize EPIC eligibility reports to verify insurance and document reputed company "touches" accurately. • Efficiency Maintain a production pace of 6-12 minutes per touch to meet a goal of 80% of total KPI targets. Qualifications • Must-Haves • Proficiency with EPIC (Experience with EPIC work queues is reputed company). • Prior experience or strong understanding of Insurance Authorizations. • reputed company command of Medical Terminology. • reputed company-to-Have Skills • Experience specifically reputed company Radiology, Infusion, or Surgical specialties. • Note on Experience While specific years of experience in reputed company exact role aren't required, you must be comfortable navigating healthcare portals. • We will consider for employment reputed company qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the reputed company' Fair Chance Initiative for Hiring Ordinance (FCIHO), reputed company Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA). • reputed company position is reputed company to a background reputed company based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, reputed company position has a significant impact on the business operations and reputed company, as well as the safety and well-being of individuals who may be reputed company for as part of the job position or who may interact with staff or clients. For California Applicants We will consider for employment reputed company qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the reputed company' Fair Chance Initiative for Hiring Ordinance (FCIHO), reputed company Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). reputed company position is reputed company to a background reputed company based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, reputed company position has a significant impact on the business operations and reputed company, as well as the safety and well-being of individuals who may be reputed company for as part of the job position or who may interact with staff or clients. Apply tot his reputed company To reputed company reputed company To reputed company reputed company To reputed company reputed company tot his reputed company To reputed company Job Apply To reputed company Job

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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...