PREAUTHORIZATION REP

Universal Hospital Services Inc.; Atlanta (GA); On-site; USD 40,000 - 60,000; Full time

Job summary

Universal Health Services seeks a patient financial services coordinator to verify insurance, handle precertifications, and support hospital reimbursement. You will collect necessary data from patients and insurers, perform eligibility checks, and document payer information for timely authorizations.

Collaborating with Intake, Business Office, and UM leaders, you will ensure compliance with each payor's requirements and deadlines while maintaining professional communication with care teams.

Qualifications

• Experience verifying insurance coverage and precertification requirements.
• Ability to collect and verify patient and insurer data for authorizations.
• Strong communication with payers and hospital staff.

Responsibilities

• Manages insurance verification and precertification for hospital patients.
• Performs authorization and eligibility checks in a timely manner.
• Notifies leadership of payer coverage issues related to services.

Skills

Insurance verification

Precertification

Authorization processing

Documentation

Communication with payors

Education

High school diploma

Job description

Responsibilities

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. www.uhs.com

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.