Summary

Performs duties related to verification of insurances for all facilities at TMC. Verifies the insurance plans, calls the insurance companies to obtain benefits along with pre-certification within a timely manner of 24 hours of the admission except for the patients that are admitted on Fridays and during the weekend. Ensures that the case managers receive an online verification form which notifies of any clinical pending and or days that are approved for pre-cert. Communicates effectively with the case management department. Performs patient registration functions by interviewing patient or responsible party to obtain identification and demographic information. Communicates TMC Financial policies to patients and collects patient portions.

Job description

Responsibilities

Performs duties related to verification of insurances for all facilities at TMC. Verifies the insurance plans, calls the insurance companies to obtain benefits along with pre-certification within a timely manner of 24 hours of the admission except for the patients that are admitted on Fridays and during the weekend. Ensures that the case managers receive an online verification form which notifies of any clinical pending and or days that are approved for pre-cert. Communicates effectively with the case management department. Performs patient registration functions by interviewing patient or responsible party to obtain identification and demographic information. Communicates TMC Financial policies to patients and collects patient portions.

Qualifications

High school or equivalent
Two years of medical/healthcare business office experience required
Basic PC experience, 10-key calculator, keyboarding, and use of other office machines such as copier, fax, etc.
Knowledge of third-party payers - Medicare, Medicaid, and Commercial insurance
Outstanding people skills, including telephone technique, personal appearance, organization skills, communicable skills (oral and written), independent and self-motivated, flexible, analytic and arithmetic skills, negotiation skills, problem solving skills
Excellent customer service skills required
Computer skills required
Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct

Requirements

High school diploma or equivalent
Two years of medical/healthcare business office experience required
Basic PC experience, 10-key calculator, keyboarding, and use of other office machines such as copier, fax, etc.
Knowledge of third-party payers - Medicare, Medicaid, and Commercial insurance
Outstanding people skills, including telephone technique, personal appearance, organization skills, communicable skills (oral and written), independent and self-motivated, flexible, analytic and arithmetic skills, negotiation skills, problem solving skills
Excellent customer service skills required
Computer skills required
Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct

Company overview

Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.