Pre-Authorization Representative
Universal Health Services
Pre-Authorization Representative
Universal Health Services
Manages hospitals and behavioral health facilities
Join Our Exceptional Team at George Washington University Hospital
Since opening its doors in 2002, George Washington University Hospital has been at the forefront of medical innovation, providing cutting-edge care in a state-of-the-art facility. As a 395-bed tertiary care, academic medical center located in the heart of downtown Washington, DC, our hospital is renowned for its Level I Trauma Center and Level III NICU. We offer unparalleled expertise in cardiac, cancer, neurosciences, women’s health, and advanced surgical procedures, including robotic and minimally invasive techniques. Operated by Universal Health Services, Inc. (UHS), one of the nation’s leading healthcare providers, we are committed to excellence in patient care and organizational growth.
POSTION SUMMARY
The Pre-Authorization Specialist is responsible for identifying prior authorization requirements by insurance/payer, processes, and obtains prior authorizations for scheduled and add-on services. Determines if services are a covered benefit, obtains pre-authorization, and documents information in CERNER and EPIC. Communicates with the ordering Provider’s office if services were approved or denied and facilitates peer-to-peer reviews when needed to prevent denials and improve Physician satisfaction.
Benefit Highlights
About Universal Health Services: One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Education Requirements:
Experience:
License / Certification: CHAA - (Certified Healthcare Access Associate) certification preferred.
EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams: We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Manages hospitals and behavioral health facilities
Universal Health Services operates a network of acute care hospitals, behavioral health facilities, and ambulatory centers across the United States. It generates its services by acquiring and managing healthcare facilities, then integrating them under centralized operating practices to deliver patient care. The company’s offering is the management and provision of hospital and behavioral health services, with a focus on standardized clinical operations, economies of scale, and nationwide coverage. What sets UHS apart is its long history of growth through acquisitions, its size and scale in both acute and behavioral health markets, and its ability to integrate new facilities while maintaining consistent care quality. Its goal is to provide high-quality healthcare across a broad network, improve patient outcomes, and sustain long-term value for shareholders by expanding access and efficiency in hospital and behavioral health services.
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