Patient Access Specialist

Pre-Services Specialist

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 patients 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
• Other duties as assigned

Benefit Highlights:

• 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!

Qualifications:

• 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.

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.

Wellington Regional Medical Center