PRE-SERVICES SPECIALIST

Responsibilities The Pre-Services Specialist is responsible for taking inbound calls, making outbound calls, and ensuring timely and accurate scheduling and pre-registering of patients in the SMS and Cerner systems. The role also involves collecting co-pays and deductibles at the time of pre-registration, interpreting managed care contracts, Medicare regulations, medical and anatomical terminology, and applying this knowledge to the scheduling and registration process. Key Responsibilities Perform scheduling, pre-registration and, if needed, insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services. Contact physicians 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 patients in a timely and courteous manner to confirm or obtain missing demographic information, quote/collect patient payment, and instruct patients on where to present at the time of appointment. Perform electronic eligibility confirmation utilizing HDX and call 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. Benefit Highlights 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. More information is available on our benefits guest website: benefits.uhsguest.com. Qualifications High school diploma or equivalent. 1–3 years healthcare experience preferred. Strong Microsoft Office skills (Excel, Word, Outlook). Customer-focused, attention to detail, strong data entry skills, and excellent written and oral communication. Familiarity with pre-registration and 1–3 years healthcare business office experience preferred. EEO Statement 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. #J-18808-Ljbffr