Preservice & Insurance Verification Specialist

Title: Preservice & Insurance Verification Specialist Location: REMOTE IN PENNSYLVANIA Full-time Job Description: 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

Performs registration and all insurance benefit and verification duties. Serves as a resource for identifying underinsured and uninsured patients. Gathers financial information, creates estimates, and informs patients of alternatives for financial obligation for services. Assists impecunious parties in obtaining free or financial assistance. Communicates new insurance benefits found to Utilization Management as well as other departments and physician offices throughout the network. Job Duties

• Obtains and verifies demographic, clinical, financial, and insurance information in the process of pre-registering and financially clearing patients for service delivery.
• Performs complete and accurate account pre-registration and insurance verification functions. Meets required accuracy rates.
• Completes registrations in accordance with department productivity and timeliness standards.
• Works to provide patient information which maximizes reimbursement, achieves collection ratios, and meets accounts receivable (AR) goals.
• Ensures that scheduled appointments match the corresponding account status registration so that information flows into the designated work queue workflows.
• Creates estimates and identifies any non-covered patient responsibilitiy such as coinsurance, deductibles, and copayments prior to service.
• Provides general information to hospital departments, physician offices, patients, and families and ensures that patients meet financial requirements.
• Works with all pre-service departments and any department throughout the revenue cycle to ensure patient expectations are met.

Minimum Qualifications

• High School Diploma/GED
• 3 years Previous experience in a customer-oriented environment, patient registration, or insurance-related field. and
• 1 year Experience in a related healthcare environment with pre-cert, billing, and registration background.
• Ability to anticipate and understand customer financial needs, document, and/or relay patients' needs to appropriate personnel.
• Knowledge of medical terminology.
• Must be self directed and able to prioritize duties in fast paced environment.

Preferred Qualifications

• Associate’s Degree and
• Specialized training in insurance, coding, billing, or similar healthcare certificate programs.
• Knowledge of EPIC, Navinet, and Passport.
• Ability to speak Spanish.

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. https://youtu.be/GD67a9hIXUY 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: 1200 S Cedar Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote Union: Not Applicable Work Schedule: 8:00 AM to 4:30 PM Department: 1004-13050 COH-Benefits Verification