Part Time Pre-Services Specialist

UHS•Richmond, VA

66d

About The Position

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

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.

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