Pre-Services Specialist

About the role

The 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.

Responsibilities

• 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

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

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