Lead Pre-Encounter Representative - Newtown Square (Hybrid/Remote)

Responsible to ensure the completion of insurance verification, pre-certification, first party payment arrangements and Time of Service collections (TOS) notification throughout Main Line Health (MLH) for all pre-scheduled inpatient, SPU, Surgi Center, and MSPU as well as all high dollar outpatients scheduled through the MLH Centralized Scheduling Call Center. Verifying all insurance information is correct in both the Patient Management and Patient Accounting systems ensuring both an expedited registration process and the production of a clean bill within the time frames set by MLH financial policies. Will be responsible to help monitor and coordinate daily processes in order to identify issues and take responsibility to inform the Manager. Will also be responsible to help implement new policies and procedures and assist with the training and quality control. High School Diploma or equivalent Excellent understanding of third party reimbursement and methodologies for all third party payers especially pre-certification and COB regulations required. Two or more year's recent work experience financial counseling department or patient registration required. Working knowledge of medical terminology required. Working knowledge of patient management and patient accounting computer systems required.