Lehigh Valley Health Network hiring Customer Service Representative in Allentown, Pennsylvania, United States | LinkedIn (2024)

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.

SummarySupports a positive service experience while handling member and provider inquiries via telephone, Customer Service portal, or written correspondence.

Job Duties

• Performs ancillary customer service functions relative to claims, providers, recoveries, and forms or letter generations. Uses multiple systems and screens to efficiently handle interaction.
• Offers solutions that aid and facilitate a unique customer service experience, including First Call Resolution (FCR). Anticipates needs; educates members and providers about related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc.
• Engages caller to gather necessary information to guide through plan of benefits, answer questions regarding care needs, and resolve issues.
• Interacts with customers, vendors, and colleagues professionally to ensure questions are answered accurately and in a timely manner.
• Assists with billing questions, claim adjustments, FSA/HSA account, COBRA payments, etc.
• Handles requests related to appeals and pre-authorizations.
• Meets all quality and adherence standards.
• Participates in team and individual discussions related to process improvement.

Minimum Qualifications

• High School Diploma/GED
• 2 years Call center experience and
• 2 years Insurance and/or claims administration experience
• Ability to take the initiative to identify and carry out responsibilities to their completion.
• High degree of professional judgement and inter-personal skills at all levels and among all disciplines.
• Knowledge of insurance or claims administration.

Physical DemandsLift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.

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 circ*mstances 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 LVHNLVHN 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.

Req ID: wd-JR102861