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Pre-services Specialist

4 months ago


Richmond, United States Atlantic Region CBO Full time

**Responsibilities**:
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related

services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

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

The Pre-Services Specialist is responsible for taking inbound calls, making outbound calls, timely and accurately scheduling and pre-registering patients in the SMS and Cerner systems.

The Pre-Services Specialist will also be responsible for attempting to collect co-pays and deductibles from patient at the time of pre-registration.

**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

**Benefit Highlights**
- Retention Bonus Program if offered.
- Loan Forgiveness Program if offered.
- 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

**Contact Information**:

- Nicole Baez
- HR Coordinator/Recruiter

Qualifications:
**Position 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.

**_
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EEO Statement_**- We believe that diversity and inclusion among our teammates is critical to our success._

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