Insurance Enrollment Specialist

Full-Time
Day Shift
Department
CSS-Patient Accounting
Shift Details
Day Shift, Monday-Friday; 8:00a-4:30p
Job ID
wd-JR102098
Posted

Insurance Enrollment Specialist

Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

Imagine a career at one of the nation's 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. 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.


Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.


Summary

Maintains positive and productive relations with payor representatives, providers, professional services, medical staff services, and the revenue cycle to successfully expedite the enrollment/re-enrollment process. Helps resolve issues to ensure that revenue is not negatively impacted.

Job Duties

  • Maintains an expanded knowledge and thorough understanding of the IntelliApp database and reporting options to maximize efficiencies in day-to-day operations. Creates customized reports for insurance enrollment purposes.
  • Maximizes workflow efficiencies for newly introduced applications and updates enrollment application fields.
  • Populates tracking spreadsheets to maintain the most current information as it relates to new providers/practices.
  • Recognizes opportunities for system set-up adds, modifications, and deletes that will improve processes and communication.
  • Submits, updates, and maintains information utilizing multiple databases for payer/provider enrollment purposes.
  • Cultivates relationships with contract payer representatives to help anticipate changes in enrollment and re-enrollment.

Minimum Qualifications
  • High School Diploma/GED
  • 5 years experience in Billing, health insurance, physician practice, or equivalent operations environment.
  • Effective prioritization of tasks to meet deadlines.
  • Knowledge and thorough understanding of the revenue cycle process.
  • Strong computer literacy skills.

Preferred Qualifications
  • Associate’s Degree

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.

Influenza vaccination and COVID-19 Vaccination is required for all colleagues unless medically contraindicated or due to a bona fide religious belief or practice. Applicants possessing a medical marijuana card will not be considered for safety sensitive positions.


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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Discover more about our mission and values on our about page.

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