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.

Supervises patient and customer satisfaction, quality standards, performance improvement, write offs and denials, and productivity for the Pre-Certification department.

Job Duties

• Reviews monthly reports and resolves variances and reports on such to the Director/ Manager. Reviews denials and write offs monthly.
• Develops and implements protocols and operating policies that ensure seamless access.
• Displays emotional intelligence in all interactions.
• Ensures the delivery of quality by audits and established standard work processes and protocols for the team. Ensures compliance of registration, authorization and RQA workflows.
• Identifies and defines qualitative and quantitative production standards to ensure all patients are scheduled safely.
• Identifies and develops orientation program and ongoing yearly education for department.
• Informs Director of significant developments affecting production goals and budget goals; renders timely and accurate monthly reports.
• Monitors vacancy and turnover rates and scorecard, implementing unit programs to achieve minimal vacancies and reduce turnover.
• Oversees the operations issues for the integrated Pre-certification departments.

• High School Diploma/GED
• 2 years in health or customer services environment with demonstrated track record of success in progressively responsible assignments and leadership positions and
• 1 year medical billing and coding, authorizations, and scheduling.
• Knowledge of scheduling and automated insurance verification software.
• Previous supervisory experience.

• Associate’s Degree or
• Bachelor’s Degree
• 1 year call center experience.

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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