Pre-Registration and Prior Authorization Specialist - Full time, daytime

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. Serving the NC/SC area through advanced imaging technology, 40+ convenient locations, and 500+ team members – 90% of whom directly touch patient care. Located at 8510 McAlpine Park Drive, Charlotte, NC 28211. The Pre-Registration and Prior Authorization Specialist 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.
• Primarily sitting.
• Travel required: 0 – 25%.
• Lift 25lbs.

Benefits

• Competitive base salary
• Comprehensive health and welfare benefits including Medical, Dental, Vision
• Flexible Spending Accounts
• PTO
• Telehealth
• Disability
• Employee Assistance Program
• 401k Retirement Savings

Schedule

Monday to Friday 8:00 am – 5:00 pm