Financial Coordinator - Pharmacy

Lehigh Valley Health Network, Inc.; Allentown (Lehigh County); Hybride; USD 45 000 - 65 000; Plein temps

Résumé du poste

Lehigh Valley Health Network in Allentown, PA, seeks a Financial Coordinator for the Home Infusion Pharmacy. You will verify insurance coverage, explain benefits to patients, obtain authorizations, and assist with billing and accounts receivable.

Collaborating with pharmacy staff and care teams, you will ensure accurate billing, payer communications, and timely payments while helping patients navigate coverage and financial options.

Qualifications

• 3 years insurance verification or medical billing experience.
• 3 years in a pharmacy-related field.
• Knowledge of ICD-10, CPT, HCPCS coding.
• Proficiency with computers and pharmacy operations.

Responsabilités

• Act as the financial representative to potential pharmacy patients.
• Educate patients on coverage and prescription benefits.
• Obtain pre-certification and/or prior authorization as needed.
• Verify billing and payments and assist with obtaining more information.
• Verify patient insurance coverage including prescription coverage.
• Maintain up-to-date documentation regarding insurance information and coverage.
• Serve as billing and insurance resource for colleagues, physicians, and patients.

Connaissances

Insurance verification

Medical billing

Pharmacy operations

Medical terminology

ICD-10/CPT/HCPCS

Formation

High School Diploma/GED

Bachelor’s Degree (preferred)

CPhT - Certified Pharmacy Technician

Outils

Pharmacy software

Description du poste

# Financial Coordinator - PharmacyFull-TimeDay ShiftDepartmentLVPS 2024 Home Infusion - CCShift DetailsDay Shift, M-F 8a-4:30pApply NowJob IDwd-JR141521PostedSeptember 24, 2026# Financial Coordinator - PharmacyApply NowSearch More Jobs**Join a team that delivers excellence.**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 healthcare organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.Imagine a career at one of the nation's most advanced health networks.Be part of an exceptional healthcare 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 healthcare 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. **Job Duties*** 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. **Minimum Qualifications*** 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. **Preferred Qualifications*** Bachelor’s Degree* CPhT - Certified Pharmacy Technician - State of Pennsylvania Upon Hire **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.