Lehigh Valley Health Network

Role Description Participates in any or all aspects of the claim submission to third party carriers, incorporating industry best practices to ensure all state and federal billing guidelines and regulations are satisfied. Conducts root cause analysis of claim edits to determine corrective action to facilitate timely submission of claims and enhance the clean claim rate. - Analyzes claim edits and conducts root cause analysis to resolve the edit, identifying opportunities for workflow process improvement and claim logic implementation to enhance the clean claim rate. - Monitors claim rejections from insurance carriers, taking the corrective action necessary to resubmit the claim, escalating rejection trends to department leadership for the creation or modification of claim edits, claim rules, or for escalation to the provider rep. - Maintains working knowledge of all regulatory claim form requirements, coding rules, LVHN protocols, as well as being proficient in all payer specific billing requirements. - Participates in claim rebill projects to address updates to items such as payer contract modifications, CDM updates, correction to charge errors, and coding version changes. - Maintains a positive and productive relationship with other LVHN Revenue Cycle Departments, instituting best practices to reinforce workflow standardization and optimize productivity. - Processes late or corrected charges according to billing guidelines for payers, submitting late replacement claims, corrected claims, or processing late charge write-offs. - Compiles documentation necessary for submission of paper claims: claim attachments, investigation of payer address, claim number; resolves eligibility situations, when necessary. Qualifications - High School Diploma/GED - 2 years of professional or facility billing and/or collections for all major third party payers or work experience in healthcare related field. - Knowledge of third party reimbursement. - Knowledge of insurance contracts and regulations. - Must maintain high-level knowledge of claim submission requirements. - Strong analytical, mathematical, and organizational skills. - Experience working with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). - Successful completion of DOE and Revenue Cycle Education within 3 months of hire. Requirements - Associate’s Degree Healthcare Administration, Finance or Business or CPAT - Certified Patient Accounting Technician - State of Pennsylvania (Preferred) 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. Work Schedule - Day Shift - Monday-Friday 7a-3:30p, 8a-4:30p Location - 1200 S Cedar Crest Blvd - Primary Location: REMOTE IN PENNSYLVANIA

• Collaborates with internal and external business partners to improve healthcare value and enable the achievement of the mission, vision, strategies, network goals, and strategic business objectives. • Improves the colleague and patient experiences and serves as an innovative, strategic partner and supports the key stakeholders through robust project management skills. • Co-creates, executes, evaluates, and adjusts short and long-term team and divisional goals, strategies, and vision. • Designs, plans, delivers, evaluates, and continually supports project management needs on strategic network initiatives to drive healthcare value and achieve enterprise goals. • Utilizes the portfolio management system and supports the enterprise-wide intake and pipeline development of potential improvement projects. • Leverages technical skill sets to bridge the needs of key stakeholders. • Assesses variation, complex organizational performance gaps and strategic expense reduction and revenue growth opportunities. • Performs root cause and gap analysis based on current state data. • Defines and forecasts based on trend data. • Builds and maintains a professional peer network and membership in relevant professional organizations. • Leads and balances multiple senior level projects while also mentoring junior team members. • Recommends and executes aligned, short and long-term departmental and divisional goals, strategies, and vision. • Facilitates team meetings, identifies key actions and follow up items, liaison etc. ensuring accuracy and accessibility to all project related documents. • Identifies and escalates barriers and risks.

• Monitors the internal and external quality improvement (QI) initiatives to continuously improve the quality and efficiency for members, providers, and populations • Provides data analysis, reporting, and program evaluation support • Identifies opportunities for quality improvement and facilitates quality committee initiatives to support best practices, recommendations, and incorporation into staff training and development • Develops division quality measures and management metrics with leadership and analytics teams (e.g. scorecards, dashboards) • Researches and summarizes clinical quality guidelines to inform evidence-based clinical decision-making that could impact workflow changes • Supports department in maintaining compliance with accreditation standards, including development, review and revision of existing departmental policies and reports • Trains staff on quality standards, procedures, and metrics • Leads department Quality Improvement Committee meetings and develops topics and/or presents on quality issues to leadership and management • Aggregates data to provide overall program metrics and client reports, collaborating with organization stakeholders to validate data integrity and ensure compliance with accreditation standards • Participates in service recovery, problem identification, and root cause analysis; documents issues; identifies potential solutions or countermeasures; and elevates to leadership • Leads and participates in performance improvement processes and uses Lean tools to support this work

Role Description Collaborates with internal and external business partners to improve healthcare value and enable the achievement of the mission, vision, strategies, network goals, and strategic business objectives. Improves the colleague and patient experiences and serves as an innovative, strategic partner and supports the key stakeholders through robust project management skills. Co-creates, executes, evaluates, and adjusts short and long-term team and divisional goals, strategies, and vision. Cultivates a strengths-based culture of continuous learning, continuous improvement, and delivery of highly reliable, measurable results. Job Duties - Designs, plans, delivers, evaluates, and continually supports project management needs on strategic network initiatives to drive healthcare value and achieve enterprise goals. - Utilizes the portfolio management system and supports the enterprise-wide intake and pipeline development of potential improvement projects. Leverages technical skill sets to bridge the needs of key stakeholders. - Assesses variation, complex organizational performance gaps and strategic expense reduction and revenue growth opportunities. Performs root cause and gap analysis based on current state data. Defines and forecasts based on trend data. - Collaborates with clients and business partners to share status, results, and feedback on projects. Builds and maintains a professional peer network and membership in relevant professional organizations. - Leads and balances multiple senior level projects while also mentoring junior team members. - Recommends and executes aligned, short and long-term departmental and divisional goals, strategies, and vision. Cultivates a strengths-based culture of continuous learning, continuous improvement, and delivery of highly reliable, measurable results. - Facilitates team meetings, identifies key actions and follow-up items, ensuring accuracy and accessibility to all project-related documents. Identifies and escalates barriers and risks. Qualifications - Bachelor’s Degree in engineering, business administration, healthcare management, project management or closely related field. - 5 years progressive experience in project management or completion of a healthcare administrative fellowship program. - Ability to quickly grasp complex concepts and situations. - Ability to organize, prioritize, and manage multiple complex tasks and projects in a fast-paced work environment. - Ability to focus on details and coordinate multiple projects simultaneously. - Must possess team building skills and emotional and social intelligence. - Must collaborate and possess resilience, managerial courage, flexibility, ethics, and professionalism. Preferred Qualifications - Master’s Degree in business administration, healthcare administration or other related degree. - 10 years progressive experience in project management. - CSSBB - Certified Six Sigma Black Belt - American Society for Quality Upon Hire. 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. Work Shift Day Shift Address 1200 S Cedar Crest Blvd Primary Location REMOTE IN PENNSYLVANIA Position Type Remote Union Not Applicable Work Schedule Day Shift 8 hours, Monday - Friday Department 1004-13045 CSS-Performance Improvement

• Provides guidance and training to EMR Analysts • Ensures written and verbal requests for release of information are responded to accurately and timely • Monitors staff schedules, productivity, and workflow • Serves as a liaison to the Network HIM Release of Information Manager • Coaches HIM EMR Analysts to achieve higher performance levels

Role Description Works closely with Supervisor and Manager of Clinical Denials Audit and maintains an organized and timely process for the logging, tracking and follow up of the Recovery Audit Contractor (RAC), other third-party request activities, and clinical denials. - Prepares monthly reports for management team and ad hoc reports as requested. - Maintains and updates workflow processes and policies as needed. - Establishes and coordinates orientation and educational materials for new staff and other departments. - Monitors and reports timely worklist responses to appropriate manager. - Follows up and supports data, manages the data and organization, and administrative needs to all clinical audit teams to help with reporting of data and identifying trends. Qualifications - High School Diploma/GED - 5 years in a hospital or healthcare administrative secretarial or office management environment. - Ability to organize and accomplish objectives through managers and staff outside of formal organizational authority. - Ability to organize and conduct effective reporting and communication to assist management in the analysis of RAC and other third-party request activities. - Skill in compiling, summarizing, and analyzing complex data, evaluating information, and drawing logical conclusions. - Excellent interpersonal skills to work with team members, internal and external customers, including strong written communication skills. - Ability to handle multiple tasks, deadlines, and requests utilizing appropriate time-management skills. - Assist with the coordination, implementation and monitoring of RAC and third-party request activities and clinical denials. - Computer skills and working knowledge of Microsoft Office and other computer-based applications in order to create reports. Requirements - Associate’s Degree (preferred) - 2 years (preferred) - Efficient with PowerPoint and advanced report capabilities with Microsoft Office software. - Have working knowledge and setup of audit software used for tracking and reporting of pre and post pay audits and clinical denials. 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. Work Schedule - Day Shift - Monday-Friday; 8:00a-4:30p Location - Primary Location: REMOTE IN PENNSYLVANIA - Address: 1200 S Cedar Crest Blvd

Role Description Responsible for providing technical assistance and support to end-users across the organization. Troubleshoots hardware and software issues, triages, escalates, or resolves technical problems, leverages and maintains relevant knowledge base documentation, and ensures the smooth operation of Jefferson systems. Involves responding to user inquiries, providing guidance on technology tools, managing support tickets, and collaborating with other IS&T teams to implement solutions. Adheres to all organizational and regulatory cybersecurity and compliance policies when conducting service desk activities, enhances user experience, maintains productivity, and ensures that technology resources are effectively utilized across the organization. Job Duties - Provides support for software, hardware, security, network problems, and questions via multiple customer contact channels. - Documents all activity in service management system following standard procedures. - Adheres to established guidelines for cybersecurity policies and procedures, customer service skills, documentation quality, and response speed. - Coordinates with other IS&T team members to appropriately escalate and resolve issues as quickly as possible based on priority and severity. - Documents resolutions and contributes to knowledge base system to address commonly reported problems, questions, and known troubleshooting and resolution steps. - Participates in continual improvement efforts aimed at improving IS&T and service desk systems and workflows to enhance operational efficiency. Qualifications - High School Diploma/GED - Less than 1 year related work experience Preferred Qualifications - Possesses strong knowledge of troubleshooting personal computers, mobile devices, and network connectivity issues to ensure smooth and efficient operations. - Demonstrates the ability to work effectively in a collaborative team environment while remaining self-motivated and disciplined in completing tasks. - Shows excellent attention to detail with strong analytical skills to interpret data, identify problems, and develop effective solutions. - Maintains the ability to manage multiple and changing priorities in a fast-paced environment while delivering high-quality results. 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. Work Shift - Day Shift - Monday-Friday; 10:30am - 7:00pm Address - 1200 S Cedar Crest Blvd - Primary Location: REMOTE IN PENNSYLVANIA Position Type - Remote - Union: Not Applicable 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. 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.

Title: Certified Recovery Specialist Location: REMOTE IN PENNSYLVANIA Job Description: 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 Works in the community with patients suffering from substance use on a peer-to-peer basis. Helps gain access to needed resources in the community by assisting in overcoming barriers and helping bridge gaps between needs and available resources. Job Duties - Develops supportive peer relationships with people with substance use disorder, serving as a role model, mentor, and motivator to offer insight into the recovery process, promote safety, and reduce harm due to addiction. - Promotes relationship-centered, trauma-informed services and recovery-orientated environment; assists individual and their family in making decisions, taking action, and treatment planning - Communicates with the patient and/or patient's family to enhance the understanding of addiction as a chronic disease and available treatment options. - Employs CRS skills to provide tailored support services options for patients given their individual circumstances and readiness for change. - Assists with the development of a recovery management plan; identifies patient strengths and community resources to overcome barriers and achieve recovery goals, determining progress at designated intervals. - Works as a member of an interdisciplinary team to support comprehensive treatment plans with relevant measurable problems, goals, objectives, interventions, and timelines. - Initiates referrals for services and helps patients with substance use by assisting with access to community resources. - Leads in recovery activities such as mentoring, securing a sponsor, and engaging in one-on-one and group recovery sessions. - Maintain project logs, reports, and accurate records in appropriate files and database(s), adhering to program standards. - Facilitates transportation for patients to appointments or treatment locations. - Participates, in conjunction with community services and advocacy programs, in educating and fostering awareness in the community about the disease of addiction and substance use disorder. Minimum Qualifications - High School Diploma/GED - 1 year lived experience as a consumer of SUD services. - Ability to work flexible schedules outside of normal business hours to meet the needs of clients. - Knowledge of community agencies and support services. - Proficient in Microsoft Office applications. - Sound problem solving skills and proactive efforts in seeking solutions to problems. - CRS - Certified Recovery Specialist - Pennsylvania Certification Board within 30 Days - DL - Driver's License_PA - State of Pennsylvania Upon Hire Preferred Qualifications - 1 year Experience in a medical/clinical community setting working with patients/clients with substance use disorders. - Bi-lingual English/Spanish. - Ability to implement screening tools for substance use disorder. 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. 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. Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Day Shift Address: 1200 S Cedar Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote Union: Not Applicable Work Schedule: Monday-Friday; 8:00a-4:30p; occasional evening and weekend hours to support outside activities Department: 1012-55101 LVPG-L Emergency Med Providers

Role Description Provides triage telephone service to ensure prompt identification of patients with high-risk conditions. Provides telephonic triage in order to assist callers in determining the most appropriate level of care. Facilitates care coordinator and virtual monitoring services within identified business areas and follows workflows, utilizes protocols, and engages resources to provide supportive service to patients and customers. - Directs callers to appropriate level of care and provides healthcare advice/education using assessment skills, approved guidelines and protocols, and knowledge of self-care practices. - Assists in all aspects of medical record maintenance and accurately files all patient charts and reports in the designated location in patient records. - Provides clinical support in the assessment of symptoms, determination of symptom acuity, offering information related to symptom management, and patient education. - Facilitates coordination of care across settings for a designated population ensuring that labs, studies, and referrals are completed and results are discussed with the patient. - Performs a short evaluation of the patient situation to estimate the severity of illness and/or injury that includes chief complaint, vital sign, and mental status information. - Prepares documentation information and transmits medical information. - Serves as a liaison between customers, patients, physicians, other members of the public and hospital staff, programs, and other resources. - Refills prescriptions for patients and places orders for appropriate testing and/or labs. Qualifications - Associate’s Degree in Nursing. - 5 years experience in nursing (acute care, ED, medical office, telephone triage). - 2 years previous clinical acute care hospital experience/urgent care. - Colleagues working within the department who advance from LPN to RN with a minimum of 2 years experience within the department are eligible. - Excellent computer skills and concerned empathy for individuals seeking healthcare-related information and assistance. - Flexibility to perform a variety of related and unrelated tasks throughout the day and work in a fast paced environment. - Knowledge of appropriate home health information for patients to follow until visit with physician, if they do not need an immediate ED intervention. - Knowledge of telephone-based clinical assessment techniques and medical practice telephone triage protocols. - Must exercise judgement in dealing with sensitive, confidential information. - Skill in making triage decisions and responding quickly and calmly in emergency situations. - American Heart Association Basic Life Support - State of Pennsylvania. - RN - Licensed Registered Nurse_PA - State of Pennsylvania. Preferred Qualifications - Bachelor’s Degree in Nursing (BSN). Physical Demands - Lift and carry 7 lbs. - Continuous sitting >67%. - Frequent keyboard use/repetitive motion. - Frequent fine motor activity/wrist position deviation. Work Shift Day Shift Address 1200 S Cedar Crest Blvd Primary Location REMOTE IN PENNSYLVANIA Position Type Remote Union Not Applicable Work Schedule Every Saturday/Sunday, 7AM-3:30PM with holiday rotation Department 1004-13011 COH-Rn Triage/Hlthcare Navigation

Role Description Collaborates with internal and external business partners to improve healthcare value and enable the achievement of the mission, vision, strategies, network goals, and strategic business objectives. Improves the colleague, member, student and patient experiences and serves as an innovative, strategic partner and support for the key stakeholders through robust project management skills. Co-creates, executes, evaluates, and adjusts short and long-term team and divisional goals, strategies, and vision. Cultivates a strengths-based culture of continuous learning, continuous improvement, and delivery of highly reliable, measurable results. Works alongside senior team members and direct supervisor to ensure delivery of accuracy is met. Job Duties - Designs, plans, delivers, evaluates, and continually supports strategic enterprise initiatives and related project management needs for the enterprise to drive healthcare value and achieve goals. - Tracks project progress into project management system to ensure standardized report outs. - Begins to assess variation, organizational performance gaps and strategic expense reduction and revenue growth opportunities. - Performs simple root cause and gap analysis based on current state data. - Facilitates team meetings, identifies key actions and follow up items, liaison etc. ensuring accuracy and accessibility to all project related documents. - Identifies and escalates barriers and risks. - Executes aligned, short and long-term departmental and divisional goals, strategies, and vision. - Fosters an approach of continuous learning and improvement. - Collaborates with clients and business partners to share status, results, and feedback on projects. - Builds and maintains a professional peer network and membership in relevant professional organizations. - Remains current in healthcare industry trends and leading-edge portfolio and project management skills. Qualifications - Bachelor’s Degree in engineering, business administration, healthcare management, project management or closely related field. - 3 years progressive experience in project management or completion of a healthcare administrative fellowship program. - Ability to quickly grasp complex concepts and situations. - Ability to organize, prioritize, and manage multiple complex tasks and projects in a fast paced work environment. - Ability to focus on details and coordinate multiple projects simultaneously. - Must possess team building skills and emotional and social intelligence. - Must collaborate and possess resilience, managerial courage, flexibility, ethics, and professionalism. Requirements - Master’s Degree in business administration, healthcare administration, or other related degree (Preferred). - 5 years progressive experience in project management (Preferred). - CSSBB - Certified Six Sigma Black Belt - American Society for Quality Upon Hire (Preferred). 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. Work Shift - Day Shift - Monday thru Friday 8 am to 5 pm Address - 1200 S Cedar Crest Blvd - Primary Location: REMOTE IN PENNSYLVANIA