Patient Access Specialist - Full time, daytime
Charlotte Radiology•Charlotte, NC
•Onsite
About The Position
The Patient Access Specialist position focuses on patient pre-authorizations, Epic registration and calculating radiology imaging estimates using an automated pricing tool (Waystar).
Requirements
- Experience with healthcare insurance including pre-authorizations, patient registration, eligibility verification, patient pricing estimates
- 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
Nice To Haves
- Experience with Epic a plus
- Experience with a healthcare pricing system a plus (Waystar, Availity, Optum/Change Healthcare, Trizetto)
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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
