Insurance Coordinator

Schuylkill•Allentown, PA

18d•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 Provides counseling to patients and their families regarding covered services and financial responsibility. Performs financial counseling review, interdepartmental communication, staff education, and policy development regarding billing procedures, provider schedule maintenance, and computer/insurance informational support while adhering to the established standards and practices.

Requirements

High School Diploma/GED
1 year Computerized physician billing
1 year Within a healthcare setting
Ability to interact effectively with patients, peers, and professional colleagues.
Ability to work independently with precision and accuracy.
Ability to transcribe dictated physician notes for correspondence and patient medical records with high level of accuracy.
Ability to prioritize workload and complete assignments in a timely manner.
Familiarity with all aspects of coding.
Excellent customer service, communication skills, and ability to handle stressful situations.
Knowledge of insurance carrier, Medicare, Medicaid, and Managed Care regulations.

Nice To Haves

Associate’s Degree
Familiarity with all aspects of coding including ICD-9, CPT, and HCPC's.
Technological literacy required including Microsoft Office applications, IDX, and LastWord.

Responsibilities

Welcomes patients and answers phones in a friendly, positive, and professional manner while always providing superior customer service.
Analyzes and maintains reports to ensure timely submission of claims and identifies problem accounts requiring further work.
Serves as the "expert" in support of general insurance verification/coverage functions.
Monitors and obtains financial information and authorizations to ensure appropriate coverage for transplant and supportive care treatments.
Communicates medical conditions and treatment plans to carriers and suppliers to determine coverage.
Educates patients, families, staff, and physicians regarding reimbursement issues.
Files clinical reports in medical records and conducts monthly performance audits for completeness and optimal financial clearance.
Processes insurance referrals and insurance verifications for patient services.
Reviews explanations of benefits for payment accuracy, denials, and appeals.
Supports front desk operations in all aspects of patient registration.