Pre - Services Specialist

Universal Health Services; Richmond (VA); On-site; USD 34,000 - 52,000; Full time

Benefits offered by this job

SoFi Student Loan Refinancing Program

Career development opportunities

401(K) with company match

Pet Insurance

Benefits Website access

Job summary

Universal Health Services is seeking a Pre-Services Specialist for the Atlantic Region Central Billing Office (ARCBO). The role involves scheduling, pre-registration, insurance verification, and collecting co-pays/deductibles during pre-registration, ensuring Medicare rules are followed, and coordinating with hospital departments to resolve inquiries.

Responsibilities include contacting physicians for prior authorizations, confirming patient demographics, and navigating systems such as SMS,

Qualifications

• High school diploma or equivalent.
• 1-3 years healthcare experience preferred.
• Strong Microsoft Office skills (Excel, Word, Outlook).
• Customer-focused with attention to detail; able to multi-task and communicate effectively.

Responsibilities

• Schedule and pre-register patients within 24 hours of reservation/notification.
• Perform insurance verification and medical necessity checks.
• Contact physicians to resolve prior authorization or referral issues.
• Obtain missing demographic information and collect patient payments.
• Confirm eligibility and explain payment responsibilities; document actions.

Skills

Customer service

Phone etiquette

Attention to detail

Multi-tasking

Written and verbal communication

Education

High school diploma or equivalent

Tools

Invision PDIX

Cerner

HDX

Job description

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.

Atlantic Region CBO is seeking a dynamic and talented Pre-Services Specialist.

The Pre-Services 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-Services 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 & Rewards 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!
• Pet Insurance
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

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Qualifications

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, 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.