Community Specialist

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.

Summary
Coordinates all aspects of patient registration, insurance verification, and scheduling of patients accurately. Conducts patient interviews by phone and in-person for the purpose of establishing an account by gathering demographic, insurance, and clinical information to ensure appropriate patient scheduling and optimal financial clearance. Educates patients regarding financial responsibilities and collects out of pocket fees.

Job Duties

• Interviews patients using open-ended questions to obtain pertinent demographic, insurance (referral/authorization), and other information.
• Engages patients throughout the registration process to create a welcoming and positive patient experience whether in person or via phone.
• Ensures referring providers' orders are complete and match the appointment scheduled. Obtains a new order prior to test/treatment if order is incomplete or inaccurate.
• Scans insurance cards, scripts, patient identification, and all pertinent documentation including regulatory forms accurately.
• Secures signatures to ensure timely reimbursement, which includes consents signed specific to service(s) being rendered.
• Determines and collects patient financial liability and creates estimates, if applicable. Refers patients to financial resources as needed for assistance with financial counseling.
• Reviews daily schedule and identifies potential scheduling conflicts affecting department flow and confers with colleagues and providers for a resolution.
• Maintains compliance with registration accuracy.

Minimum Qualifications

• High School Diploma/GED
• 1 year Customer service or
• 1 year Healthcare environment such as a hospital and/or physician office
• Computer and typing proficiency.
• Must be able to interact with a diverse customer base, including those seeking emergency services or treatment due to an accident or illness.
• Must successfully pass the required training in two attempts or less.

Preferred Qualifications

• Associate’s Degree Health care or related field
• 2 years registration/insurance verification in a health care setting
• Knowledge of medical terminology.
• Bi-lingual - Spanish/English.

Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.

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:

1770 Main St

Primary Location:

Lehigh Valley Hospital- Hellertown

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

Monday through Friday Variable hours

Department:

1004-09388 Outpatient Registration Float - CC