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. JOB DUTIES AND RESPONSIBILITIES:Accurately verifies insurance benefits and completes verification summaries including completion of insurance verification forms. Accurate and time... more details
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.
JOB DUTIES AND 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.
PHYSICAL AND SENSORY REQUIREMENTS:
Sitting up to eight hours per day, up to six hours at a time. Standing for up to eight hours per day, up to six hours at a time. Frequent fingering, handling, firm grasping. Frequent twisting and turning. Frequent lifting, carrying, and pulling objects up to 50 lbs. Frequent stooping, bending, crouching, and reaching above shoulder level. Seeing as it relates to normal and peripheral vision. Hearing as it relates to normal conversation and telephone use.
EDUCATION:
High School graduate or equivalent.
TRAINING AND EXPERIENCE:
Two years’ insurance experience (or related) experience required, preferable in an outpatient medical setting. Previous Rehabilitation experience preferred. Proficient MS Office experience required (Word, Excel).
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
