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Job Description

Job Title: LPN Coordinator, Kline Health Center
Job ID: 881107990
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Pinnacle Health Medical Services
Department: Kline Health Center
Location: 2601 North Third Street, Harrisburg PA 17110

Description

Responsibilities:

  • Provide insurance verification consultation and assistance, as needed or requested.
  • Maintain and share current knowledge of payer standards, practices and preferences, particularly for Medical Assistance.
  • Maintain and share current knowledge of all Agency programs and services, particularly Pediatric Private Duty Services.
  • Verify and document customer's insurance coverage(s), with relevant payers
  • Communicate insurance information to Agency staff regarding benefit coverage, deductions, co-pays, and special instructions.
  • Maintain current database of all Agency insurance payers, with specifics about the insurance provider
  • Investigate and resolve individual customer accounts.
  • Generate, research, respond to, distribute, and track Billing Communication forms
  • Assist in the process to generate, submit, and manage administrative appeals in accordance with each payer's guidelines
  • Maintain personal productivity by demonstrating satisfactory attendance and punctuality
  • Demonstrate support of the Agency's Mission, Principles, and Values, Ethics, & Standards of Behavior
  • Maintain and protect customer and Agency confidentiality
  • Educate and require adherence to performance improvement processes and initiatives
  • Represent and participate in Agency professional and community activities as requested
  • Obtain and maintain current knowledge of the requirements, standards, practices, and preferences of the Agency services, the requirements, standards, practices, and preferences of the payers of those services, the computer systems used to manage reimbursement and customer records
  • Expand knowledge and expertise through educational resources and literature review
  • Promote personal and co-worker safety during work duties
  • Serve as the principle Agency contact for selected payers to negotiate with payers to secure reimbursement rates, initial and ongoing authorizations for services
  • Communicate authorization information and payer expectations and/or instructions to appropriate Agency staff
  • Provide the payers with clinical progress reports regarding the customer's care, treatment, and progress toward goals/outcomesImplement monitoring and tracking mechanisms to compare authorizations with services providedProvide clinical assistance to programs and other clinical staff

 

Qualifications

Education: Graduate of Practical Nurse Program accredited by NLN required 



Experience: Two years health care experience within a hospital, medical doctor's office, other related health care organization, insurance verification/insurance billing or related experience preferred

Computerization Skills: Proven competency in clinical application system and software and Microsoft Office.

Travel: Access to transportation in Agency service area with valid PA drivers' license and proof of auto liability required

Licensure, Certifications, and Clearances:
Must complete licensure examination within FOUR MONTHS of hire or within one year of graduation, whichever comes first. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void), UPMC requires that GNs take the licensure examination within 4 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.

Clearances must be dated within 90 days

  • Licensed Practical Nurse (LPN) OR Temporary Practice Permit (TPP)
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

     

    Salary Range: $17.93 to $26.91 / hour

    Union Position: No

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