Consumer Driven Health Care & FSA Technician

Lehigh Valley Hospital, Inc.; Allentown (Lehigh County); Remote; USD 40,000 - 60,000; Full time

Job summary

Join Lehigh Valley Health Network as a Consumer Driven Health Care & FSA Technician, where you'll manage FSA claims and debit card activities. This role requires a High School Diploma and at least 3 years of experience in FSA claim processing. Enjoy the opportunity to work remotely in Pennsylvania while contributing to a nationally recognized health care organization.

Qualifications

• At least 3 years of experience in FSA claim processing and adjudication.
• Knowledge of medical terminology is essential.

Responsibilities

• Handles all aspects of Consumer Driven Health Plans including enrollment and claims processing.
• Manages debit card activities and monitors POS transactions.
• Performs year-end reconciliation and prepares reports for clients.

Skills

Knowledge of medical terminology

Proficiency in MS Excel

Proficiency in MS Word

Proficiency in MS Outlook

Education

High School Diploma/GED

Job description

Consumer Driven Health Care & FSA Technician

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant, and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking, and offers plenty of opportunities to do great work.

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 opportunities to excel.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our region. Additionally, Lehigh Valley Hospital - Cedar Crest, Muhlenberg, Hazleton, and Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology, with an unrelenting focus on delivering the best health care every day.

Whether you're considering your next career move or your first, consider Lehigh Valley Health Network.

Summary

Adjudicates CDHC (FSA/DCA) claims in accordance with plan provisions and supports Customer Service and other departments related to servicing clients. Manages debit card substantiation processes through member portals, manual, or fax submissions. Reviews and distributes FSA/DCA and HSA reports.

Job Duties

• Handles all aspects of Consumer Driven Health Plans including enrollment, claims processing, and addressing inquiries from Customer Service. Implements new employee benefits and changes. Processes manual/electronic claims for Child Care, Dependent Care, and Health FSA.
• Manages debit card activities including monitoring POS transactions, reviewing unauthorized refunds, reissuing lost/stolen cards, adding spouses/dependents manually when necessary, investigating errors, and managing the entire substantiation process.
• Investigates checks presented for stale dating, lost/stolen checks, or escheat reporting requests.
• Maintains and updates documentation related to policies and procedures for the CDHC department.
• Manages reports for FSA/DCA and HSA, updates user profiles to ensure compliance.
• Supports new business implementations with analysis and plan design according to client specifications.
• Communicates with call centers and management regarding unusual trends or circumstances affecting call volume.
• Performs year-end reconciliation, researches discrepancies, and prepares reports for clients.
• Coordinates with IT for process improvements within CDHC.

Minimum Qualifications

• High School Diploma/GED
• At least 3 years of experience in FSA claim processing and adjudication
• Knowledge of medical terminology
• Proficiency in MS Excel, Word, and Outlook

Physical Demands

Lift and carry up to 7 lbs., continuous sitting (>67%), frequent keyboard and fine motor activities, wrist position deviations.

Job description is subject to revision as needed to meet organizational needs. Other responsibilities may be assigned.

Lehigh Valley Health Network is an equal opportunity employer. We provide employment opportunities without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability, or other protected classes. All personnel actions will adhere to this policy.

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Location

REMOTE IN PENNSYLVANIA

1200 S Cedar Crest Blvd, 18103, Allentown, United States (Map)

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