What are the responsibilities and job description for the Financial Clearance & Applications Specialist position at Lehigh Valley Hospital?
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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.
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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 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
Preferred Qualifications
Physical Demands
Lift and carry 25 lbs. frequent sitting / standing, frequent keyboard use,
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.
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