Patient Access & Authorization Specialist

Charlotte Radiology; Charlotte, Northern (NC, KY); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Flexible Spending Accounts

Paid Time Off

Telehealth

Disability insurance

Employee Assistance Program

401k Retirement Savings

Job summary

Charlotte Radiology is seeking a Pre-Registration and Prior Authorization Specialist to join our Charlotte, NC team. The role focuses on patient pre-authorizations, Epic registration, and calculating radiology imaging estimates using Waystar.

You will verify insurance, obtain authorizations, communicate with clinical and billing teams, and ensure accurate scheduling while maintaining HIPAA standards and handling confidential information.

Qualifications

• Experience with healthcare insurance including pre-authorizations, patient registration, eligibility verification, patient pricing estimates.
• Experience with Epic a plus.
• Experience with healthcare pricing systems 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

Education

High school diploma or equivalent

Tools

Epic

Waystar

Availity

Optum/Change Healthcare

Trizetto

Excel

MS Office

Job description

Charlotte Radiology is seeking a Pre-Registration and Prior Authorization Specialist to join our Charlotte, NC team. The role focuses on patient pre-authorizations, Epic registration, and calculating radiology imaging estimates using Waystar.

You will verify insurance, obtain authorizations, communicate with clinical and billing teams, and ensure accurate scheduling while maintaining HIPAA standards and handling confidential information.