One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands 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. This position is also responsible for interpreting managed care contracts; Medicare regulations; medical and anatomy terminology and applying the 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