PREAUTHORIZATION REP

Job Title

Manages financial arrangements (insurance verification, precertification, charity review, etc.) for hospital patients to assure the hospital is reimbursed by third parties, financial assistance programs, and the patient/guarantor. Coordinate the precertification authorization process as well as general insurance verification coverage. Performs authorization and eligibility checks in a timely manner including when new insurance is identified. Communicate and document pertinent third party payor issues and/or information regarding any change in authorization and eligibility to Intake Director, Business Office Manager, UM Director, and/or designee. Maintain professional, positive and effective communication Collects necessary clinical and demographic data from patients, providers, and insurance companies to support precertification authorization requests. Verifies and enters insurance eligibility in an accurate and timely manner. Notifies Intake Director, Business Office Manager, UM Director, and/or designee regarding lack of payer coverage or other service non-coverage issues as it relates to completing precertification. Submits and tracks authorization requests with insurance providers, ensuring compliance with their specific requirements and deadlines for new and existing patients. Work directly with Assessment and Referral Services to stay abreast of admissions and/or pending authorizations

About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications High school diploma 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. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.