Financial Coordinator - Orthotics & Prosthetics

Lehigh Valley Health Network • Allentown, PA

5d • Onsite

About The Position

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.

Requirements

• 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.

Nice To Haves

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

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED