About the position
The Pre-Services Specialist at Universal Health Services, Inc. (UHS) plays a crucial role in the admissions process by managing patient scheduling and pre-registration. This position is integral to ensuring that patients receive timely and accurate service, which is essential for both inpatient and outpatient care. The specialist will handle inbound and outbound calls, ensuring that all patient information is collected and verified efficiently. This includes scheduling appointments, pre-registering patients in the SMS and Cerner systems, and collecting co-pays and deductibles at the time of registration. The role requires a strong understanding of managed care contracts, Medicare regulations, and medical terminology to effectively navigate the complexities of patient registration and scheduling. In addition to scheduling and registration, the Pre-Services Specialist will be responsible for contacting physicians to resolve any issues related to prior authorizations or referral forms. They will also need to research patient visit histories to ensure compliance with Medicare regulations, particularly the 72-hour rule, and complete necessary documentation such as the Medicare Secondary payer questionnaire and Advance Beneficiary Notice (ABN) when applicable. The specialist must maintain a courteous and professional demeanor while contacting patients to confirm or obtain missing demographic information, quote and collect payments, and instruct patients on where to present at their appointments. The role also involves performing electronic eligibility confirmations and working collaboratively with various facility departments and internal teams to resolve patient or insurance inquiries. The Pre-Services Specialist acts as a liaison between hospital departments to ensure smooth operations and documentation of any issues that arise. In instances of system downtime, the specialist will implement and follow established procedures to maintain service continuity. This position is dynamic and requires adaptability, attention to detail, and a commitment to providing excellent customer service.
Responsibilities
- Perform scheduling, pre-registration, and 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 in Invision PDIX, quote/collect patient payment, and instruct patients on where to present at the 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.
- Implement and follow system downtime procedures when necessary.
- Other duties as assigned.
Requirements
- High school diploma or equivalent.
- 1-3 years healthcare experience preferred.
- Strong Microsoft Office skills (Excel, Word, Outlook).
- Customer-focused both internally and externally, with strong attention to detail.
- Ability to multi-task and perform strong 10 key data entry.
- Excellent written and oral communication skills are required.
- Familiarity with pre-registration and 1-3 years healthcare business office experience preferred.
Benefits
- 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!
