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

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.