Precertification Specialist I

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<p style="text-align:left !important"><b><u>Job Description:</u></b></p><p></p><div><div><p><u><span>JOIN PREMIER RADIOLOGY<span> </span></span></u><b><span>(A Radiology Partners practice): Make a local impact in the Greater Nashville, TN area! </span></b><span> </span></p></div><div><p><span> </span></p></div><div><p><span><span>At<span> </span></span></span><b><span>Premier Radiology</span></b><span><span>, we believe transforming radiology starts with investing in the people who deliver care every day. As a practice of<span> </span></span></span><b><span>Radiology Partners (RP)</span></b><span><span>, Premier combines a strong local presence across Tennessee with the support and resources of a leading national radiology <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">organization—delivering</span> exceptional outpatient imaging while offering healthcare professionals meaningful, sustainable careers.</span></span><span> </span></p></div><div><p><span> </span></p></div><div><p><u><span>ABOUT PREMIER RADIOLOGY & RADIOLOGY PARTNERS, INC. </span></u><span> </span></p></div><div><p><b><span>Premier Radiology</span></b><span><span><span> </span>is<span> </span></span></span><b><span>one of the leading</span></b><span><span><span> </span>outpatient imaging providers across Tennessee, known for convenient access, high-quality care, and an exceptional patient experience. As a proud practice of<span> </span></span></span><b><span>Radiology Partners (RP)</span></b><span><span>, Premier pairs trusted local care with the resources and clinical standards of a purpose-built national radiology organization focused on quality, access, and innovation.</span></span><span> </span></p></div><div><p><span> </span></p></div><div><p><span><span>With<span> </span></span></span><b><span>20+ outpatient imaging centers throughout the Nashville market</span></b><span><span>, Premier Radiology combines:</span></span><span> </span></p></div><div><ul><li><p><span><span>Access to hundreds of<span> </span></span><span>board</span></span><span>‑</span><span><span>certified</span><span><span> </span>RP radiologists</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Advanced diagnostic technology</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Convenient,<span> </span></span><span>community</span></span><span>‑</span><span><span>based</span><span><span> </span>locations</span></span><span> </span></p></li></ul></div><div><p><span> </span></p></div><div><p><span><span>Together, RP and Premier Radiology are redefining how imaging supports patients, referring providers, and the clinicians who make care possible. When you join<span> </span></span></span><b><span>Premier Radiology</span></b><span><span>,<span> </span></span><span>you’ll</span><span><span> </span>be backed by<span> </span></span></span><b><span>Radiology Partners (RP)</span></b><span><span>—a nationally recognized organization that prioritizes clinical excellence and a<span> </span></span><span>people</span></span><span>‑</span><span><span>first</span><span><span> </span>culture.</span></span><span> </span></p></div><div><p><span> </span></p></div><div><p><u><span>WHY JOIN US:</span></u><span> </span></p></div><div><ul><li><p><span><span>Competitive compensation and comprehensive total rewards</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>True<span> </span></span></span><b><span>work-life balance</span></b><span><span><span> </span>in an outpatient setting—</span></span><b><span>no on-call shifts</span></b><span><span><span> </span></span></span><b><span>or overnights</span></b><span><span> </span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Consistent RP standards with<span> </span></span></span><b><span>local leadership and support</span></b><span> </span></p></li></ul></div></div><div><div><ul><li><p><span><span>Opportunities for<span> </span></span></span><b><span>modality<span> </span></span><span>cross</span></b><span>‑</span><b><span>training</span><span><span> </span>and professional growth</span></b><span> </span></p></li></ul></div><div><ul><li><p><span><span>A<span> </span></span></span><b><span>fun, team-first culture</span></b><span><span><span> </span>at Premier <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Radiology—collaborative,</span> supportive, and grounded in safety and trust</span></span><span> </span></p></li></ul></div><div><p><span> </span></p></div><div><p><span><span>Radiology Partners has been Certified Great Place to Work™ for five consecutive years, reflecting the experiences of team members across our practices nationwide.</span></span><span> </span></p></div><div><p></p></div><div><p><u><span>POSITION SUMMARY</span><span>:</span></u><span> </span></p></div><div><ul><li><p><span><span>Will contact insurance companies and third-party administrators to<span> </span></span><span>determine</span><span><span> </span>pre-authorization and/or medical necessity requirements for outpatient radiology exams and procedures</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Responsible for obtaining the pre-authorization before the scheduled services are performed</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Will act as a liaison between the patients and<span> </span></span><span>referring</span><span><span> </span>physician offices when needed to obtain<span> </span></span><span>additional</span><span><span> </span>clinical documentation</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Fully Remote – Working in CST time-zone</span></span><span> </span></p></li></ul></div><div><p><span> </span></p></div><div><p><u><span>DESIRED PROFESSIONAL SKILLS AND EXPERIENCE</span><span>:</span></u><span> </span></p></div><div><ul><li><p><span><span>Background in healthcare preferred</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Working knowledge of medical billing and managed care</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Background with eClinicalWorks Practice Management System preferred</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Excellent phone and computer skills</span></span><span> </span></p></li></ul></div><div><p><span> </span></p></div></div><div><div><p><u><span>FOR MORE INFORMATION:</span></u><span> </span></p></div><div><p><span><span>Learn more about this opportunity here:</span></span><span> </span></p></div><div><p><a href="https://jobdescription.powerappsportals.com/PreImagingServicesRepAssistant-PREIMGREPASST-9-18-25/" target="_blank" rel="noopener noreferrer"><u><span>Link to Job Description here.</span></u><u><span><span> </span></span></u></a><span> </span></p></div><div><p><span> </span></p></div><div><p><u><span>COMPENSATION & TOTAL REWARDS:</span></u><span> </span></p></div><div><p><span><span>The hourly range for this position is $18.00-$20.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).</span></span><span> </span></p></div><div><p><span><span> </span></span><br><span><span>Final compensation is<span> </span></span><span>determined</span><span><span> </span>based on education, experience, certifications, and geographic factors.</span></span><span> </span></p></div><div><p><span> </span></p></div><div><p><span><span>In addition to competitive pay, Radiology Partners offers a robust total rewards package, which may include:</span></span><span> </span></p></div><div><ul><li><p><span><span>Health and wellness coverage options</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>401(k) with employer offerings</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Paid time off and paid holidays</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Incentive and productivity programs (where eligible)</span></span><span> </span></p></li></ul></div><div><ul><li><p><span><span>Family planning and telehealth benefits</span></span><span><span> </span></span><br><i><span>(All benefits subject to eligibility requirements</span><span>.)</span></i><span> </span></p></li></ul></div><div><p><span> </span></p></div><div><p><i><span>Radiology Partners is an equal<span> </span></span><span>opportunity</span><span><span> </span>employer. RP is committed to being an inclusive,<span> </span></span><span>safe</span><span><span> </span>and welcoming environment where everyone has equal access and<span> </span></span><span>equitable</span><span><span> </span>resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness,<span> </span></span><span>compassion</span><span><span> </span>and<span> </span></span><span>a healthy respect</span><span><span> </span>for differences. </span></i><span> </span></p></div><div><p><span> </span></p></div><div><p><span><span>CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. </span></span><span> </span></p></div><div><p><span> </span></p></div><div><p><span><span>Radiology Partners<span> </span></span><span>participates</span><span><span> </span>in</span></span><a href="https://www.e-verify.gov/about-e-verify" target="_blank" rel="noopener noreferrer"><u><span> E-verify.</span></u></a><span><span> </span></span><br><span><span> </span></span><br><b><span>Beware of Fraudulent Messages:</span></b><span><span> Radiology Partners will never request payment,<span> </span></span><span>banking</span><span><span> </span>or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in “</span></span><a href="mailto:@radpartners.com" target="_blank" rel="noopener noreferrer"><u><span>@radpartners.com</span></u></a><span><span>.” If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email </span></span><a href="mailto:Talent@radpartners.com" target="_blank" rel="noopener noreferrer"><u><span><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Talent@radpartners.com</span></span></u></a><span><span> </span></span><span><span>to notify our team.</span></span><span> </span></p></div></div><p style="text-align:inherit"><br> </p><p style="text-align:left"><span><span><span><u><span>RADIOLOGY PARTNERS OVERVIEW</span></u></span></span></span></p><p style="text-align:inherit"></p><p style="text-align:left">Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. </p><p style="text-align:inherit"></p><p style="text-align:left"><i>Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming <span><span><span><span><span><span><span class="WKS0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">environment where everyone</span></span></span></span></span></span></span></span> has equal access and equitable resources to reach their <span><span><span><span><span><span><span class="WKS0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">full potential. We</span></span></span></span></span></span></span></span> are united by our Mission to Transform Radiology and in turn have <span><span><span><span><span><span><span class="WKS0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">an important impact on</span></span></span></span></span></span></span></span> the patients we serve and the healthcare <span><span><span><span><span><span><span class="WKS0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">system overall. We</span></span></span></span></span></span></span></span> hold that diversity is a key source of strength from which we will build <span><span><span><span><span><span><span class="WKS0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">a practice culture that</span></span></span></span></span></span></span></span> is inclusive for all. Our goal is to empower and engage the voice of every teammate <span><span><span><span><span><span><span class="WKS0"><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">to promote awareness, compassion,</span></span></span></span></span></span></span></span> and a healthy respect for differences.</i></p><p style="text-align:left"><span>Radiology Partners participates in <u><a href="https://urldefense.com/v3/__https:/www.e-verify.gov/about-e-verify__;!!JaxrFA0aDbS6wLZB7A!vEd9epHvuj6MdirZQRvXHDpzQlNythznD5cZL5l1N14Kwz_24m5x_kVNh4L-rdZPNdeizqXpy9h6mJK1GI9V-RHQ8Eg$" target="_blank" rel="noopener noreferrer">E-verify</a>.</u></span></p>

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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...