Patient Access & Authorization Specialist

US Radiology Specialists, Inc.; Charlotte, Northern (NC, KY); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Flexible Spending Accounts

PTO

Telehealth

Disability benefits

Employee Assistance Program

401k Retirement Savings

Job summary

Charlotte Radiology in Charlotte, NC is seeking a Pre-Registration and Prior Authorization Specialist for a full-time daytime role. Responsibilities include patient pre-authorizations, Epic registration, and providing radiology estimates using Waystar.

You will collaborate with clinical and billing teams to ensure accurate scheduling and patient communication. The role requires strong knowledge of insurance processes, pricing tools, and HIPAA compliance, with a focus on efficient patient

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
• Lift 25lbs.

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

Skills

Healthcare insurance

Epic experience

Pricing systems

Excel

Communication skills

High school diploma

Multitasking

HIPAA compliance

Education

High school diploma or equivalent

Tools

Waystar

Availity

Optum/Change Healthcare

Trizetto

Job description

Charlotte Radiology in Charlotte, NC is seeking a Pre-Registration and Prior Authorization Specialist for a full-time daytime role. Responsibilities include patient pre-authorizations, Epic registration, and providing radiology estimates using Waystar.

You will collaborate with clinical and billing teams to ensure accurate scheduling and patient communication. The role requires strong knowledge of insurance processes, pricing tools, and HIPAA compliance, with a focus on efficient patient