Financial Clearance & Applications Specialist

Lehigh Valley Health Network, Inc.; Allentown (Lehigh County); On-site; USD 42,000 - 56,000; Full time

Job summary

Lehigh Valley Health Network is seeking a Financial Clearance Specialist to gather financial information, inform patients of payment options, and assist indigent patients in obtaining assistance. You will collaborate with other departments daily to process FAP applications and post payments.

This role requires strong attention to detail, excellent communication with patients and staff, and the ability to maintain accurate records.

Qualifications

• High school diploma or GED required.
• 3 years in a customer-oriented environment, patient registration, or insurance-related field.
• Ability to interview callers and document details in writing.
• Strong client service orientation and ability to influence stakeholders.

Responsibilities

• Receives and processes financial information and documents patient accounts.
• Determines patient responsibility and eligibility for Financial Assistance Programs (FAP).
• Posts payments and creates estimates for services.
• Keeps knowledge of federal guidelines for FAP eligibility to identify eligible patients.
• Ensures patients are screened for Medical Assistance prior to FAP approval.
• Collaborates with other departments to process financial clearance and maintain accurate records.

Skills

Customer service

Interpersonal communication

Documentation

Data entry

Education

High School Diploma/GED

Associate’s Degree

Job description

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 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

Gathers financial information, informs patients of alternatives for financial obligation for services, and assists indigent parties in obtaining free or financial assistance. Collaborates with other departments, offices, and application specialists daily. Processes financial assistance applications, posts payments, creates estimates, account reconciliation process, and weekly and monthly productivity reports.

Job Duties

• Receives/processes FAP requests according to LVHN policy. Denies, approves, and pends applications assigning a reason (if applicable).
• Documents all patient accounts accurately with supporting details regarding financial assistance and financial responsibility.
• Maintains comprehensive knowledge of the federal guidelines published by the Department of Health and Human Services to identify and determine patient eligibility for Financial Assistance Program (FAP).
• Ensures all designated patients are screened for Medical Assistance prior to FAP approval.
• Determines patient responsibility on referred accounts. Determines patient’s ability/inability to pay prior to, during, or after services are provided.
• Utilizes effective communication skills in interpersonal interaction with patients, families, physicians, fellow employees, regarding financial assistance and patient responsibility.
• Meets LVHN Auditing and compliance standards-accuracy for application processing and estimates calculations.

Minimum Qualifications

• High School Diploma/GED
• 3 years Previous experience in a customer-oriented environment, patient registration, or insurance-related field.
• Ability to anticipate and understand customer financial needs and document and/or relay patients’ needs to appropriate personnel.
• Ability to interview callers and capture details in an accurate written report.
• Skill in analyzing and organizing technical data.
• Strong client service orientation and influencing skills with hiring managers.

Preferred Qualifications

• Associate’s Degree

Physical Demands

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift

Day Shift

Address

1200 S Cedar Crest Blvd

Primary Location

Lehigh Valley Hospital- Cedar Crest

Position Type

Onsite

Union

Not Applicable

Work Schedule

Monday-Friday; 8:00a-4:30p

Department

1004-13022 COH-Pre-Services / Financial Clearance