Provider Enrollment Liaison
Allentown, PA 
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Posted 23 days ago
Job Description

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

Performs all Provider enrollment process functions. Participates in the Provider enrollment workflow planning, implementing, and following-up on new acquisitions on the Provider/Practice enrollment applications while effectively communicating enrollment status to related departments. Works with the Epic analyst concerning Provider builds and Epic workflows relating to provider participating approval status and the release of claims to maximize revenue capture.

Job Duties

  • Monitors new providers onboarding, existing provider/practice, and location movement to support the process of enrollment with insurance payers.
  • Facilitates communication with providers, supporting departments, team members, and leadership to ensure all involved are aware of current Provider Par status, enrollment barriers, process changes, and resolution deadlines.
  • Makes recommendations to leadership to improve enrollment process flows that will readily support timely provider enrollment/re- enrollment.
  • Represents the enrollment department by participating in multidisciplinary quality and service improvement teams via meetings.
  • Populates tracking spreadsheets to maintain the most current enrollment information.
  • Reviews, identifies, corrects, and maintains provider enrollment electronic records as well as provider profiles with payers.
  • Recognizes opportunities for the Epic system set-up adds, modifications, and deletes that will improve processes.
  • Develops and maintains a collaborative relationship with all associated departments to facilitate timely provider enrollment.

Minimum Qualifications
  • High School Diploma/GED
  • 2 years Experience working with complex provider credentialing/insurance enrollment processing.
  • Effective, motivated communicator.
  • Knowledge and understanding of the revenue cycle process and how the many components fit together.
  • Welcomes challenging tasks - meets deadlines consistently.

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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About LVHN

LVHN hospitals in the Lehigh Valley are the only hospitals in the region to have received Magnet recognition five consecutive times since 2002. This prestigious recognition from the American Nurses Credentialing Center demonstrates our commitment to nursing excellence and quality patient outcomes. LVHN is home to five clinical institutes. Each serve as a hub for innovation, collaboration and education. Our institutes include Lehigh Valley Topper Cancer Institute, Lehigh Valley Heart and Vascular Institute, Lehigh Valley Institute for Surgical Excellence, Lehigh Valley Fleming Neuroscience Institute and Lehigh Valley Orthopedic Institute. LVHN is also home to Lehigh Valley Reilly Children's Hospital, which is the only children's hospital in the region. This hospital gives our community access to more than 30 pediatric specialties, Children's ExpressCARE locations and a dedicated Children's ER.

We've been consistently recognized by U.S. News & World Report as the top hospital in the region and among the best in the state. We're also Great Place to Work-Certified, which means an overwhelming majority of our colleagues have a positive experience at LVHN.

These designations tell you that LVHN is a great place to work from hire to retire. If you are someone who aligns with LVHN's core values - Compassion, Integrity, Collaboration and Excellence - you will have a rewarding and successful career here.

Vaccination Requirements

Individuals are required to adhere to all LVHN vaccination policies in effect at the time of hire. Employees will be subject to pre-employment drug and alcohol testing. Please note that safety sensitive positions cannot test positive for marijuana or its metabolites, medical or otherwise.

Equal Opportunity Employer

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.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
2+ years
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