Pre-Services Specialist

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.

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.

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