Pre-Encounter Specialist- Remote Option Available

About the position St. Luke's University Health Network is seeking a dedicated Pre-Encounter Specialist to join our team. This position is crucial in ensuring that our patients receive the best possible care by verifying insurance benefits and maintaining accurate records within our Physical Therapy department. The Pre-Encounter Specialist will be responsible for the verification of benefits, maintenance of assigned work queues, and tracking plans of care. This role requires a commitment to excellence and a compassionate approach to patient care, aligning with our mission to improve access to healthcare for all individuals, regardless of their ability to pay. In this role, the Pre-Encounter Specialist will accurately verify insurance benefits and complete verification summaries, including the necessary insurance verification forms. The specialist will also be responsible for the timely completion of assigned Epic work queues, which include pre-registration, charge review, and claim edits. Adherence to productivity and quality standards set by Administrative Leadership is essential. The specialist will handle incoming phone calls, assisting or directing callers to the appropriate department as needed. Additionally, the role involves the weekly completion of Plan of Care tracking reports and documenting any concerns regarding work queues or insurance verification issues to the Billing Manager and Facility Director. Participation in department meetings, including team huddles, is required, and the specialist must maintain active credentials to all assigned payor portals. Responsibilities • Accurately verifies insurance benefits and completes verification summaries including completion of insurance verification forms. , • Completes assigned Epic work queues in pre-registration, charge review, and claim edits accurately and timely. , • Adheres to productivity and quality standards set forth by Administrative Leadership. , • Answers phone calls in a timely manner, assisting or directing 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, including team huddles and department-wide meetings. , • Maintains active credentials to all assigned payor portals. Requirements • High school diploma or GED required. , • Two years of insurance experience (or related experience) required, preferably in an outpatient medical setting. , • Proficient in Microsoft Office (Word, Excel) is required. , • Previous Rehabilitation experience preferred. Nice-to-haves • Experience in a healthcare setting is a plus. , • Familiarity with Epic systems is advantageous.

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