Insurance Verifier at St. Luke's University Health Network

Allentown, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

08 May, 26

Salary

0.0

Posted On

07 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Customer Service, Documentation, Communication, Data Entry, Problem Solving, Attention to Detail, Team Collaboration, Medicare Knowledge, Financial Counseling, EPIC Software, Typing Skills, Microsoft Excel, Microsoft Word, Microsoft Outlook, Web Navigation

Industry

Hospitals and Health Care

Description

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 Insurance Verifier is responsible for verifying insurance eligibility and benefits for all Network inpatient/observation admissions and transfers within one business day. The Verifier corrects identified errors and notifies appropriate parties so authorizations can be obtained and accurate billing can occur. The Verifier refers all identified uninsured/underinsured accounts to the Network Financial Counselors. JOB DUTIES AND RESPONSIBILITIES Verifies insurance coverage and obtains benefits for all Network inpatient and observation admissions. Ensures accurate information so that other teams can obtain authorizations and perform billing functions. Documents detailed accurate benefit and deductible information in EPIC. Responds promptly to internal/external customer insurance inquiries and contacts internal/external entities when additional information is needed. Reverifies coverage for admitted patients every 15 days until discharged. Calculates and tracks estimated remaining Medicare days. Communicates findings to Financial Counselors and others as appropriate. Identifies uninsured/underinsured patients or accounts with incomplete insurance information and promptly communicates issues to Financial Counselors for follow up. Submits notification of admission for Veterans through the Veterans Community Care Network for all Network Veteran ED visits and non-elective ED/direct observation/inpatient admissions within 72 hours. Tracks and follows up on VA responses until authorization/determination is received and patient is discharged. Meets or exceeds productivity and quality performance standards. Other related duties as assigned. PHYSICAL AND SENSORY REQUIREMENTS: Sitting up to 8 hours per day, 1-2 hours at a time. Standing as needed, up to 2 hours per day, 30 minutes at a time. Walking for up to 30 minutes a day, up to 10 minutes at a time. Continuously uses fingers for typing and writing. Rarely uses the hand for firm grasping. Occasional twisting and turning. Frequently lifts, carries, pushes and pulls objects up to 10 pounds, occasionally pulls items up to 25 pounds. Frequently stoops, bends, occasionally crouches, and reaches above shoulder level. Frequently kneels and squats. Must have the ability to touch as related to telephone and computer keyboard. Must have the ability to hear as it relates to normal conversations and high and low frequencies in person and on the telephone. Has ability for seeing as relates to general vision, peripheral vision and vision monotony. Able to speak clearly as related to communication on the telephone and in person. EDUCATION: High School Diploma or equivalent. Must be able to speak, read and write English. TRAINING AND EXPERIENCE: Experience within health care related to registration, verification or third-party billing in a hospital, similar medical facility, or physician’s office is preferred. Personal computer experience with knowledge of Excel, Word, and Outlook preferred. Ability to navigate websites and web-based applications is required. Use of computer keyboard and typing skills required. Previous clerical experience desired. 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. Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally. St. Luke’s is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row. Learn More Here.

Responsibilities

The Insurance Verifier is responsible for verifying insurance eligibility and benefits for all Network inpatient and observation admissions and transfers. They also correct errors, notify appropriate parties, and refer uninsured or underinsured accounts to Financial Counselors.