Pre-Registration and Prior Authorization Specialist

About the role

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.

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).

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

Schedule

Monday to Friday 8:00 am – 5:00 pm

Location

8510 McAlpine Park Drive, Charlotte, NC 28211

Pay & benefits

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.