Financial Coordinator - Pharmacy

Lehigh Valley Health Network • Allentown, PA

4d • 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 Monitors and obtains financial information and authorizations to ensure appropriate coverage for patients related to Home Infusion Pharmacy, Nursing and Specialties. 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, applies payments and adjustments on Accounts Receivable. Works closely with Pharmacy to coordinate outpatient infusion services. Knowledge of pharmacy operations is required.

Requirements

• High School Diploma/GED
• 3 years Insurance verification or medical billing.
• or 3 years in a Pharmacy related field
• 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.
• Knowledge of pharmacy operations including order preparation, patient monitoring and home delivery.

Nice To Haves

• Bachelor’s Degree
• CPhT - Certified Pharmacy Technician - State of Pennsylvania Upon Hire

Responsibilities

• Acts as the financial representative to all potential pharmacy patients.
• Maintains a perpetual knowledge of pharmacy Payer standards and requirements for pharmacy patient billing
• Educates patients on coverage, prescription coverage, and any assistance programs that they may be eligible.
• 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 prescription 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