One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
Rockford Center is seeking a dynamic and talented Insurance Verification Specialist.
Rockford Center is Delaware's first private psychiatric facility and remains a leader in providing behavioral health care services and continues its commitment to providing quality health care. Rockford Center, a 138-bed acute psychiatric hospital continues to provide a full continuum of behavioral health services to geriatrics, adults, adolescents, and children.
The Insurance Verification Specialist will ensure the collection of payments owed to the hospital in a timely and accurate manner.
Key Responsibilities include:
Verifies Medicare benefits via the CWF and identifies potential financial issues timely. Informs Assessment Department and CBO Director of financial issues immediately upon identifying matter.
Verifies insurance benefits within a 24-hour time frame for all Inpatient and Partial Hospitalization admissions received during regular business hours. Weekend admissions should be verified no later than Monday of the following week.
Initiates phone calls to insurance companies to determine extent of coverage, certification requirements and other policy limitations, deductible and co-insurance.
Enters verification into the AS400 system, timely and accurately. Ensure that financial class and claim submission address is correct. Notes should be entered immediately following verification if patient is in-house.
Reviews all insurance information loaded by the Assessment and Referral Department for accuracy and completeness. Identify and rectify problems.
Notifies CBO Director of negative trends pertaining to payers.
Completes review of Admission packets in a timely manner.
Assists clients with re-activation of Delaware Medicaid benefits when applicable.
Notifies patients/guarantor of any financial responsibility via phone/letter and provides facility UP Front collections expectations.
Completes scanning of admission packages within 48hrs.