Financial Clearance & Applications Specialist
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 description
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
Requirements
- 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.
Company overview
Lehigh Valley Health Network (LVHN) is a major healthcare provider and hospital network based in Allentown, Pennsylvania, serving the Lehigh Valley and Northeastern Pennsylvania regions. Founded in 1899, LVHN operates as a comprehensive healthcare system with 13 hospital campuses, 28 health centers, numerous primary and specialty care physician practices, and multiple urgent care locations. The network's flagship facility, Lehigh Valley Hospital-Cedar Crest, is Pennsylvania's third-largest hospital and features the state's first Level One Trauma Center. LVHN provides a wide range of medical services including specialized institutes for cancer care, heart and vascular treatment, surgical excellence, orthopedics, and neuroscience. The network operates the third-largest heart surgery program in Pennsylvania, performing over 1,200 open-heart procedures annually, and maintains one of the state's largest cancer centers treating over 2,400 new patients each year. In August 2024, LVHN completed a merger with Jefferson Health, becoming part of a larger healthcare system with 32 hospitals and over 700 locations across Pennsylvania. Prior to the merger, LVHN was the largest employer in the Lehigh Valley metropolitan region, with approximately 20,000 employees dedicated to providing comprehensive healthcare services to the community.