Pre-Services Specialist

Overview

Universal Health Services, Inc. (UHS) is a national provider of hospital and healthcare services. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and operates acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and related services located across the U.S., Washington, D.C., Puerto Rico and the United Kingdom.

Atlantic Region CBO is seeking a dynamic and talented The Pre-Services Specialist
.

The Pre-Services Specialist is responsible for taking inbound calls, making outbound calls, and timely and accurately scheduling and pre-registering patients in the SMS and Cerner systems. The role also involves attempting to collect co-pays and deductibles from patients at the time of pre-registration. This position requires interpreting managed care contracts, Medicare regulations, medical and anatomy terminology, and applying this knowledge to the scheduling and registration process.

Key Responsibilities include:

• Perform scheduling, pre-registration and, if needed, insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services
• Contact physician to resolve issues regarding prior authorization or referral forms
• Research patient visit history to ensure compliance with the Medicare 72 hour rule and complete the Medicare Secondary payer questionnaire and ABN as applicable
• Contact patient in a timely and courteous manner to confirm or obtain missing demographic information in Invision PDIX, quote/collect patient payment and instruct patient on where to present at time of appointment
• Perform electronic eligibility confirmation utilizing HDX and calling insurances when necessary
• Work with facility departments and internal departments of the CBO to investigate and resolve issues associated with patient or insurance company inquiries
• Act as a liaison to the hospital departments in resolving issues and documenting accordingly
• Implements and follows system downtime procedures when necessary
• Other duties as assigned

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website:

Requirements:

• High school diploma or equivalent
• 1-3 years healthcare experience preferred
• Strong Microsoft Office skills (Excel, Word, Outlook)
• Customer focused both internally and externally, strong attention to detail, the ability to multi-task, strong 10 key data entry, and excellent written and oral communication skills are required.
• Familiarity with pre-registration and 1-3 years healthcare business office experience preferred.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email.

Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.