Financial Coordinator Pharmacy

Imagine a career at one of the nations 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. Were a Magnet(tm) Hospital having been honored five times with the American Nurses Credentialing Centers 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 LVHNs commitment to teamwork compassion and technology with an unrelenting focus on delivering the best health care possible every day.

Whether youre 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

• Bachelors 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.

Lehigh Valley Health Network is an equal opportunity 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.

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:

2024 Lehigh St

Primary Location:

Allentown - 2024 Lehigh Street

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

8a-4:30p M-F

Department:

LVPS 2024 Home Infusion - CC