Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary
Monitors and obtains financial information and authorizations to ensure appropriate coverage for patients related to orthotics and prosthetics. Communicates medical conditions and treatment plans to carriers and suppliers to determine coverage. Obtains authorizations for services if needed. Provides counseling to patients and their families regarding covered services and financial responsibility. Monitors payments and adjustments on Accounts Receivable. Registers, schedules, and coordinates patient appointments while ensuring accurate documentation and effective communication with patients, providers, and staff

Job Duties

• Acts as the financial representative to all potential patients.
• Maintains a perpetual knowledge of Payer standards and requirements for patient billing
• Registers, schedules, and coordinates patient appointments.
• Obtains pre-certification and/or prior authorization if required by insurance companies and ensures that they are always up-to-date and active.
• Verifies accuracy of billing and payment information received and assists in obtaining more information.
• Verifies patient insurance coverage including DME coverage.
• Maintains up-to-date documentation regarding insurance information and coverage.
• Serves as a billing and insurance resource for colleagues, physicians, and patients.

Minimum Qualifications

• High School Diploma/GED
• 1 year Insurance verification or medical billing.
• Knowledge of medical terminology and all aspects of coding including ICD-10, CPT, and HCPCS.
• Computer proficiency.
• Knowledge of insurance carriers, Medicare, Medicaid, and managed care regulations.
• Knowledge of third-party insurance medical benefits and billing requirements.

Preferred Qualifications

• Bachelor’s Degree
• 1 year DME or Orthotic/Prosthetic related field

Additional Qualifications

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

480 S Cedar Crest Blvd

Primary Location:

Allentown - 480 S Cedar Crest

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

8:00a-4:30p

Department:

1004-09227 LV Medical Supplies - Cedar point