Financial Clearance & Applications Specialist

Lehigh Valley Health NetworkMount Pocono, PA
Onsite

About The Position

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 Gathers financial information, informs patients of alternatives for financial obligation for services, and assists indigent parties in obtaining free or financial assistance. Collaborates with other departments, offices, and application specialists daily. Processes financial assistance applications, posts payments, creates estimates, account reconciliation process, and weekly and monthly productivity reports.

Requirements

  • 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.

Nice To Haves

  • Associate’s Degree

Responsibilities

  • 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.
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