Pre-Registration and Prior Authorization Specialist Charlotte Radiology - 3.5 Charlotte, NC Job Details Full-time 1 day ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance Qualifications Availity Patient scheduling systems Health insurance co-pays HIPAA compliance Email customer support Overseeing health insurance pre-certification Phone communication Spreadsheets Patient demographics HIPAA Medical coding guidelines Mid-level Microsoft Office Medical scheduling High school diploma or GED Phone customer support Internal employee customer service Health record tracking Health insurance referral requirements Handling patient inquiries Clinical confidentiality policies Epic Patient registration Faxing Managing patient records Communication skills Full Job Description For over 50 years, Charlotte Radiology has been a trusted partner and industry leader in providing expert clinical imaging services and exceptional patient care. Charlotte Radiology serves NC/SC area healthcare providers and patients through advanced imaging technology, 40+ convenient locations, and 500+ team members - 90% of whom directly touch patient care. Our mission and vision are to be recognized as the premier radiology expert, where people come first - solidified through collaborate teamwork and quality-driven, customer focused services. Charlotte Radiology values each individuals' unique perspectives. Here, you will be a valued member of a larger diverse and inclusive team of experts all invested in one common goal - delivering exceptional care to our patients.

Location:

8510 McAlpine Park Drive, Charlotte, NC 28211

Shift:

Monday to Friday 8:00 am - 5:00 pm

POSITION SUMMARY

The Pre-Registration and Prior Authorization Specialist position focuses on patient pre-authorizations, Epic registration and calculating radiology imaging estimates using an automated pricing tool (Waystar).

Essential Duties and Responsibilities:

Register patients in Epic, ensuring all demographic and insurance information is accurate and up to date. Verify insurance coverage, benefits, and obtain pre-authorizations and referrals as required by payers. Utilize Waystar or equivalent pricing tools to provide patients with out-of-pocket estimates and explain their financial responsibility. Monitor and follow up on pending authorizations and scheduling holds. Communicate effectively with physicians, outpatient clinic staff, technologists, and billing departments to ensure smooth workflow and accurate scheduling. Document all communication and authorization details in the patient record according to HIPAA and compliance guidelines. Respond to incoming scheduling requests via phone, fax, email, or electronic orders in a timely and professional manner. Maintain up-to-date scheduling logs, spreadsheets, and tracking systems for internal reporting and auditing purposes. Identify patients with outstanding balances or bad debt and follow appropriate financial clearance protocols before scheduling. Assist in resolving scheduling conflicts and rescheduling appointments as needed due to equipment downtime, staffing, or clinical priority changes. Participate in peer training for new hires

Qualifications:

Experience with healthcare insurance including pre-authorizations, patient registration, eligibility verification, patient pricing estimates Experience with Epic a plus Experience with a healthcare pricing system a plus (Waystar, Availity, Optum/Change Healthcare, Trizetto) Experience with MS Office including Excel Strong verbal and written communication skills High school diploma and/or equivalent education/experience Knowledge of basic medical coding and third-party operating procedures and practices Strong internal and external customer service skills Ability to multitask and work independently without direct supervision Ability to demonstrate strength in problem solving Ability to handle confidential information Primarily sitting Travel required: 0 - 25% Lift 25lbs. Charlotte Radiology offers competitive base salary and comprehensive health and welfare benefits including Medical, Dental, Vision, Flexible Spending Accounts, PTO, Telehealth, Disability, Employee Assistance Program, and 401k Retirement Savings. Charlotte Radiology is an equal opportunity, at-will employer, and administers all personnel practices without regard to race, color, religion, sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital status, military or veteran status, genetic information, or any other category protected under federal, state, or local law.