Pre-Encounter Representative



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 Representative is responsible for accurate and timely pre-registration, verification of all financial information, precertification/obtaining referrals and Point of Service cash collection for all services assigned to ensure proper reimbursement.

JOB DUTIES AND RESPONSIBILITIES:

  • Responsible for the financial clearance of all scheduled patients by providing accurate and timely verification of all financial information and precertification/referral for all services to ensure proper reimbursement.
  • Monitors all schedules to insure that all cases are identified and financial clearance is obtained.
  • Insures that either Precerts or referrals are obtained prior to date of service ( i.e. Surgery, Cat Scans, MRI’s, MRA’s, PET scan, Bone scans).
  • Pre-registers and identifies/requests point of service cash for all scheduled patients.
  • Refers all self pay patients to the Bethlehem Financial Counselors
  • Updates and/or communicates correct patient information to appropriate staff, hospital departments, and computer systems.
  • Work with billers to both resolve billing issues/appeals by reviewing notes, and/or records.
  • Works with reimbursement Coordinators regarding updates and deleted codes for proper reimbursement for Departments.
  • Works with Manager regarding reimbursements issues and or pre-cert issues with accounts in their area as upon request.
  • Ongoing knowledge of billing regulations and/or requirements and registration procedures.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting up to eight (8) hours per day, three (3) hours at a time. Consistent use of hands and fingers for typing, telephones, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 15 pounds. Stoops, bends and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision.

EDUCATION:

High school graduate or equivalent.

TRAINING AND EXPERIENCE:

Minimum of one year experience in healthcare, call center or insurance related field.  One year of Medical Billing and coding experience.  Prior working knowledge of CPT and ICD-10 Codes used in healthcare billing.   Strong customer service skills with knowledge of health insurance. Bilingual preferred.

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.

Posted
09/11/2021
Type
Part time
Location
Allentown, PA 18109, US