Pre - Services Specialist
Universal Health Services
Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Pre-Services Specialist. The Pre-Sevices 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-Serivces 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 pro cedures when necessary
- Other duties as assigned
- 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!
- Pet Insurance
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
- 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.
Vacancy posted 2 days ago
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