Pharmacy Financial Coordinator - Billing & Insurance

Lehigh Valley Health Network, Inc.; Allentown (Lehigh County); Hybrid; USD 45,000 - 65,000; Full time

Job summary

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.

Responsibilities

• 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.

Skills

Insurance verification

Medical billing

Pharmacy operations

Medical terminology

ICD-10/CPT/HCPCS

Education

High School Diploma/GED

Bachelor’s Degree (preferred)

CPhT - Certified Pharmacy Technician

Tools

Pharmacy software

Job description

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.