Financial Clearance & Applications Specialist
Lehigh Valley Hospital, East Stroudsburg, PA, United States
Career Opportunity At Lehigh Valley Health Network
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.
Job Duties
Receives/processes FAP requests according to LVHN policy. Denies, approves, and pends applications assigning a reason (if applicable).
Documents all patient accounts accurately with supporting details regarding financial assistance and financial responsibility.
Maintains comprehensive knowledge of the federal guidelines published by the Department of Health and Human Services to identify and determine patient eligibility for Financial Assistance Program (FAP).
Ensures all designated patients are screened for Medical Assistance prior to FAP approval.
Determines patient responsibility on referred accounts. Determines patient's ability/inability to pay prior to, during, or after services are provided.
Utilizes effective communication skills in interpersonal interaction with patients, families, physicians, fellow employees, regarding financial assistance and patient responsibility.
Meets LVHN Auditing and compliance standards-accuracy for application processing and estimates calculations.
Minimum Qualifications
High School Diploma/GED
3 years Previous experience in a customer-oriented environment, patient registration, or insurance-related field.
Ability to anticipate and understand customer financial needs and document and/or relay patients' needs to appropriate personnel.
Ability to interview callers and capture details in an accurate written report.
Skill in analyzing and organizing technical data.
Strong client service orientation and influencing skills with hiring managers.
Preferred Qualifications
Associate's Degree
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.
Work Shift: Day Shift
Address: 206 E Brown St
Primary Location: Lehigh Valley Hospital- Pocono
Position Type: Onsite
Union: Not Applicable
Work Schedule: 8am-4:30pm
Department: 1029-00022 Credit Office
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.
Job Duties
Receives/processes FAP requests according to LVHN policy. Denies, approves, and pends applications assigning a reason (if applicable).
Documents all patient accounts accurately with supporting details regarding financial assistance and financial responsibility.
Maintains comprehensive knowledge of the federal guidelines published by the Department of Health and Human Services to identify and determine patient eligibility for Financial Assistance Program (FAP).
Ensures all designated patients are screened for Medical Assistance prior to FAP approval.
Determines patient responsibility on referred accounts. Determines patient's ability/inability to pay prior to, during, or after services are provided.
Utilizes effective communication skills in interpersonal interaction with patients, families, physicians, fellow employees, regarding financial assistance and patient responsibility.
Meets LVHN Auditing and compliance standards-accuracy for application processing and estimates calculations.
Minimum Qualifications
High School Diploma/GED
3 years Previous experience in a customer-oriented environment, patient registration, or insurance-related field.
Ability to anticipate and understand customer financial needs and document and/or relay patients' needs to appropriate personnel.
Ability to interview callers and capture details in an accurate written report.
Skill in analyzing and organizing technical data.
Strong client service orientation and influencing skills with hiring managers.
Preferred Qualifications
Associate's Degree
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.
Work Shift: Day Shift
Address: 206 E Brown St
Primary Location: Lehigh Valley Hospital- Pocono
Position Type: Onsite
Union: Not Applicable
Work Schedule: 8am-4:30pm
Department: 1029-00022 Credit Office