Pre-Services Specialist

UHS; Richmond (VA); On-site; USD 41,000 - 56,000; Full time

Benefits offered by this job

Competitive compensation

Generous PTO

Excellent medical, dental, vision

401(k) with company match

SoFi student loan refinancing

Career development opportunities

Job summary

Universal Health Services is seeking a dynamic PRe-Services Specialist for the Atlantic Region Central Billing Office. The role will involve inbound/outbound calls, patient pre-registration in SMS and Cerner systems, and collecting co-pays at pre-registration.

The specialist will interpret managed care contracts and Medicare regulations to support scheduling, registration, and payer requirements while coordinating with hospital departments to resolve issues.

Qualifications

• High school diploma or equivalent.
• 1-3 years healthcare office experience preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook).
• Customer focused with excellent written and oral communication.

Responsibilities

• Schedule and pre-register patients within 24 hours of reservation/notification for inpatient and outpatient services.
• Contact physicians to resolve prior authorization or referral issues.
• Verify eligibility and collect patient payments at pre-registration.
• Research patient visit history to ensure Medicare rules compliance and complete required forms.
• Communicate with patients to obtain missing demographics and guide them at point of service.
• Assist with insurance verification and resolve issues with clinical departments.

Skills

Customer service

Attention to detail

Communication skills

10-key data entry

Education

High school diploma or equivalent

Tools

Excel

Word

Outlook

Job description

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.

Responsibilities

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 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!
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

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. Headquarters 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.

Requirements

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.