Full Time Pre-Encounter Specialist Outpatient Rehab

St. Luke’s University Health Network • Bethlehem, PA

7d • Onsite

About The Position

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Pre-Encounter Specialist is responsible for the verification of benefits, maintenance of assigned work queues, and plan of care tracking within Physical Therapy at St. Luke’s. Ensures notification of completed verifications, as well as any associated concerns or issues to the appropriate clinic and Billing Manager.

Requirements

• High School graduate or equivalent.
• Two years’ insurance experience (or related) experience required, preferable in an outpatient medical setting.
• Proficient MS Office experience required (Word, Excel).

Nice To Haves

• Previous Rehabilitation experience preferred.

Responsibilities

• Accurately verifies insurance benefits and completes verification summaries including completion of insurance verification forms.
• Accurate and timely completion of assigned Epic work queues in pre-registration, charge review, and claim edits.
• Adheres to productivity and quality standards set forth by Administrative Leadership.
• Answers the phone calls in a timely manner, assists or directs the caller to the appropriate person or department.
• Responsible for weekly completion of Plan of Care tracking report.
• Documents, tracks, and communicates any concerns regarding any work queue and/or insurance verification problems to the Billing Manager and Facility Director.
• Attends department required meetings as scheduled. This includes team huddles as well as department wide meetings. Must be able to report in person if needed.
• Maintains active credentials to all assigned payor portals.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees