Summary

　　Job Description

　　POSITION SUMMARY: This position primarily supports patients through phone, in-person or written correspondence and is equipped to support the department in other areas as needed, including but not limited to: performing patient screenings to initiate applications for programs such as LG Health’s Financial Assistance program, PA Medical Assistance and pharmacy assistance. This position works closely with patients to understand their financial concerns and provides immediate resolution or coordinates resolution with a Financial Counselor II or other departments as appropriate.

　　ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

　　Acts as initial point of contact for patient and performs follow up tasks with patient as necessary.

　　Completes one of the following processes:

　　A: Performs Financial Assistance and PA Medical Assistance screenings and completion of applications, establishes payment plans, posts account adjustments, verifies and builds insurance coverage, resubmits claims, and provides service recovery.

　　B: Assesses applicants for Financial Assistance program eligibility.

　　Maintains an understanding of the revenue cycle which includes insurance billing, associated correspondence (e.g. eobs, electronic remittance advises etc.) and account adjustments. Independently identifies, resolves or directs issues to the appropriate party.

　　Attempts to understand patient needs and offers guidance and resolution of issues through collaboration with team members and outside departments.

　　Reviews Financial Assistance and PA Medical Assistance applications and supporting documents for completeness and accuracy, working closely with patients throughout the application process and directing to a Financial Counselor II as appropriate.

　　Thoroughly documents patient communication conducted over the phone, in person or electronically.

　　Tracks and monitors trends; maintains work queues and benchmarks.

　　Reports all potential problems and issues immediately.

　　Maintains HIPAA compliance at all times when working with PHI.

　　Maintains knowledge of, compliance with, and enforces the following: Financial Assistance Policy, PA Medical Assistance guidelines, 501r Federal Regulations, and Fair Debt Collections Practices Act.

　　SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

　　Provides ongoing support and training to internal and external staff as needed, assists in maintaining training documents and resources as needed.

　　Processes and follows special accounts.

　　Assists with special projects as assigned.

　　Other duties as assigned.

　　JOB REQUIREMENTS

　　MINIMUM REQUIRED QUALIFICATIONS:

　　High School Diploma or equivalent (GED).

　　One (1) year prior Customer Service, Billing and Account Resolution experience.

　　Strong written and verbal communication skills.

　　Microsoft Office experience.

　　Strong organizational skills.

　　Ability to apply strong analytical qualities.

　　PREFERRED QUALIFICATIONS

　　Bachelors degree or equivalent combination of education and experience.Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

　　Benefits At A Glance:

　　PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:

　　100% Tuition Assistance at The Pennsylvania College of Health Sciences

　　Paid Time Off and Paid Holidays

　　Shift, Weekend and On-Call Differentials

　　Health, Dental and Vision Coverage

　　Short-Term and Long-Term Disability

　　Retirement Savings Account with Company Matching

　　Child Care Subsidies

　　Onsite Gym and Fitness Classes

　　Disclaimer

　　PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

　　Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

　　PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital and the Lancaster Rehabilitation Hospital (a partnership with Kindred Healthcare). We are an Accredited Trauma Center-Level I through the Pennsylvania Trauma Systems Foundation with 805 Licensed beds. Our membership in Penn Medicine brings together the strengths of a world-renowned, not-for-profit academic medical center and a nationally recognized, not-for-profit community healthcare system.

　　Outpatient services are provided at the Downtown Outpatient and Suburban Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region. Lancaster General Health Physicians is a network of more than 300 primary-care and specialty physicians, at more than 40 offices throughout the region.