Jobs at Lehigh Valley Health Network

Coordinates clinical audits, claim denials, recovery audit contractor requests, third-party activities, appeals, and related documentation. Analyzes audit and denial trends by facility, payer, and service line; maintains tracking databases; prepares management reports; identifies workflow improvements; supports write-offs and audit closure; and trains staff on audit software. The role also manages incoming correspondence, coordinates appeals, and communicates with payer and vendor representatives.

Coordinates clinical audits, claim denials, RAC and third-party requests, appeals, documentation, tracking databases, reporting, and audit follow-up. Analyzes claim and denial trends, identifies workflow issues, communicates findings to management, supports write-offs, manages incoming audit correspondence, trains staff on tracking software, and maintains relationships with payers and vendors.

Obtains insurance benefits, authorizations, referrals, and precertifications for procedures, testing, medications, and other healthcare services. Verifies medical necessity, coverage, benefits, and clinical information; communicates with providers, patients, and insurers; monitors schedules and work queues for authorization accuracy; ensures compliance with network policies; and calculates estimated patient financial responsibility using payer contracts and self-pay guidelines.

Assists patients and families with Medicaid applications and eligibility determinations. Collects and verifies documentation, prepares and tracks applications, follows up on deficiencies, and collaborates with attorneys, social workers, case managers, financial counselors, and government agencies. Maintains accurate records, supports reimbursement optimization, protects confidential information, and ensures compliance with Medicaid regulations, HIPAA, and organizational policies.

Provides day-to-day legal counsel and operational support to business partners, including legal guidance, risk identification, agreement drafting, document negotiation, and escalation of complex matters. Partners with stakeholders to support organizational initiatives, manages multiple legal matters, and aligns advice with business objectives and risk tolerance. The role requires a Pennsylvania-licensed attorney with at least five years of relevant experience.

Provides day-to-day legal counsel and operational support to business partners within a healthcare organization. Advises on legal risks, drafts and negotiates agreements, supports leadership on complex matters, and partners with stakeholders on initiatives. The role requires managing multiple matters, delivering practical legal guidance, and maintaining strong collaboration, responsiveness, and legal quality.

Coordinates patient registration, insurance verification, scheduling, documentation, referrals, and financial clearance. Interviews patients, gathers demographic and insurance information, confirms orders, scans records, obtains signatures, calculates and collects patient responsibility, provides financial-resource referrals, and resolves scheduling conflicts. Maintains registration accuracy and delivers a positive patient experience in person and by phone.

Supervises nursing staff and daily hospital operations while ensuring regulatory compliance, effective patient care, staff development, and quality improvement. Reviews care plans, monitors nursing outcomes, coordinates patient placement and on-call coverage, conducts audits, supports infection prevention and process improvement, and promotes a collaborative, patient-centered environment.

Coordinates patient scheduling for appointments, diagnostic tests, procedures, and exams across healthcare departments. Collects clinical and insurance information, verifies demographics, educates patients and referring offices, and uses scheduling and patient software. Serves as a resource for staff and physicians, addresses scheduling concerns, monitors protocols, and recommends process improvements while maintaining confidentiality and accuracy.

Manages a team of project management professionals supporting enterprise strategic initiatives, healthcare value improvements, client delivery, and technology efficiencies. Oversees project planning, execution, evaluation, reporting in ServiceNow, and portfolio intake. Develops standardized operational processes, strengthens stakeholder relationships, coaches team members, and drives continuous improvement, productivity, and measurable results across the health network.

Processes accounts payable transactions including vendor invoices, credit memos, check requests, contractual payments, employee expenses, refunds, EDI, and EFT transactions. Prepares payments, reviews vendor statements, maintains vendor records, processes regulatory vouchers, sets up prepaid invoices, supports corporate credit card administration, resolves invoice and reconciliation errors, and provides accurate database information while maintaining vendor relationships.

Delivers and develops access, revenue cycle, and software training for healthcare staff. Creates compliant billing curricula, e-learning content, instructor-led training, and EMR implementation materials. Supports registration staff through a helpdesk, analyzes workflow and operational data, identifies performance gaps, troubleshoots process issues, and recommends process improvements. Maintains expertise in insurance, revenue cycle workflows, healthcare operations, educational technologies, and EMR systems.

Leads technical solutions for complex EHR and Epic application initiatives, including system integration, configuration, upgrades, implementation, maintenance, workflow analysis, documentation, testing, and operational issue resolution. Manages work plans, project deliverables, risks, resource estimates, and technology standards while supporting large-scale hospital information technology projects and collaborating across technical teams.

Coordinates patient scheduling for appointments, procedures, and diagnostic exams across hospital and outpatient settings. Collects clinical and insurance information, verifies demographics, educates patients and physician offices about protocols and referrals, uses scheduling and patient software, and supports staff and referring offices. The role also monitors procedures, recommends improvements, and maintains accurate, confidential records while handling multiple priorities in a fast-paced environment.

Provides direct patient support under licensed clinicians in a rehabilitation unit. Responsibilities include assisting with transfers, gait, activities of daily living, therapy preparation and transport, dysphagia support, purposeful rounding, vital-sign monitoring, restraints and alarm placement, intake/output documentation, and reporting changes in patient condition. The role requires teamwork, patient-centered communication, flexible scheduling, and the ability to perform physically demanding tasks.

Manages strategic and operational projects for the Office of Philanthropy, including fundraising proposals, gift agreements, reporting, events, budgets, vendors, and leadership initiatives. Develops project plans, coordinates cross-functional teams, manages risks and timelines, facilitates stakeholder communication, and provides updates to senior leadership. Supports advancement programs, donor meetings, campaign activities, and departmental priorities within a healthcare network.

Manage transplant patients across various phases of care, first assist during abdominal transplant surgeries, collaborate with physicians and advanced practitioners, and deliver high-quality care using current surgical technologies. The role supports a high-volume kidney and pancreas transplant program, living donor procedures, vascular access services, and an expanding liver transplant program.

Coordinates patient registration, insurance verification, scheduling, documentation, and financial clearance. Interviews patients, verifies demographic and insurance information, confirms provider orders, scans required records, obtains consents, calculates and collects financial responsibility, and refers patients to financial assistance. Reviews schedules to identify conflicts and maintains registration accuracy while providing a welcoming experience to diverse patients in person and by phone.

Provides direct patient care under licensed clinicians in a rehabilitation setting. Assists with transfers, gait, activities of daily living, therapy preparation, patient transport, dysphagia support, safety measures, rounding, vital-sign monitoring, and documentation. Reports patient status changes and supports unit goals through patient- and family-centered care.

Transports patients to and from hospital departments, including radiology and discharge areas. Assists nurses and technologists with patient transfers between beds, stretchers, and wheelchairs; provides guest directions; helps patients change clothes; cleans and stores transport equipment; manages linens; and replaces oxygen tanks. Requires safe judgment, interpersonal skills, physical ability, and Basic Life Support certification.