Financial Coordinator - Orthotics & Prosthetics
Lehigh Valley Health Network
Summary
Monitors and obtains financial information and authorizations to ensure appropriate coverage for patients related to orthotics and prosthetics. 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 payments and adjustments on Accounts Receivable. Registers, schedules, and coordinates patient appointments while ensuring accurate documentation and effective communication with patients, providers, and staff.
Job description
Job Duties
- Acts as the financial representative to all potential patients.
- Maintains a perpetual knowledge of Payer standards and requirements for patient billing.
- Registers, schedules, and coordinates patient appointments.
- 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 DME 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
- 1 year Insurance verification or medical billing.
- 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.
Preferred Qualifications
- Bachelor's Degree
- 1 year DME or Orthotic/Prosthetic related field
Requirements
- High School Diploma/GED
- 1 year Insurance verification or medical billing
- 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
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.