Insurance Verification & Authorization Representative - Home Health

Lehigh Valley Health Network • Allentown, PA

5d • Hybrid

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. LV HOME CARE AND HOSPICE

Requirements

• High School Diploma/GED
• Demonstrated flexibility and effective problem solving in accommodating and meeting customer needs.
• Excellent computer skills.

Nice To Haves

• Associate’s Degree
• Less than 1 year Health care office setting or
• Less than 1 year Authorization

Responsibilities

• Obtains authorization for all services based on insurance to ensure database integrity and facilitate claims processing.
• Documents patient authorization requirements, deductibles, co-payments, and coinsurance responsibilities. Completes accurate and complete insurance information into case communication notes for clinicians.
• Coordinates appeal processes for denied payment due to authorization or other insurance complications.
• Writes and submits appeals with substantiating documentation within deadline restrictions.
• Follows computer system, department operational procedures, and training guidelines to obtain accurate insurance information.
• Functions as a resource regarding insurance verification and authorization issues.

What This Job Offers

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