Overview
Senior Pre-Services Specialist Jobs in Richmond – Virginia – USA at UHS
Responsibilities
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 $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune;
and listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 96,700 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.
The Atlantic Region CBO is seeking a
dynamic
and talented Senior Pre-Services Specialist.
The primary responsibility of the Senior Pre-Services Specialist is to take inbound calls, make outbound calls, timely and accurately schedule and pre-register patients in the SMS and Cerner systems.
As needed for workflow, they will review assigned resource rooms for authorization purposes.
The Senior Pre-Services Specialist, will also be responsible for attempting to collect co-pay and deductibles from patient at points of contact.
This position is also responsible for interpreting managed care contracts; trending payer issues;
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
Retention Bonus Program if offered.
Loan Forgiveness Program if offered.
Challengingand rewardingwork environment
Competitive Compensation & GenerousPaid 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 developmentopportunities within UHS and its 300+ Subsidiaries!
More information is available on ourBenefits Guest Website:
Contact Information:
Nicole Baez
HR Coordinator/Recruiter
Qualifications
Position Requirements…
Title: Senior Pre-Services Specialist
Company: UHS
Location: Richmond – Virginia – USA
Category: Healthcare, Administrative/Clerical
