Pre-Services Specialist
1 week ago
Universal Health Services, Inc. (UHS) is seeking a dynamic and talented Pre-Services Specialist to join our team.
Job Summary: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.
Key Responsibilities:- Perform scheduling, pre-registration, and 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.
- Implement and follow system downtime procedures when necessary.
- Other duties as assigned.
- High school diploma or equivalent.
- 1-3 years of 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 of healthcare business office experience preferred.
- Challenging and rewarding work environment.
- Competitive compensation and 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.
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