Job description

Why Planned Parenthood?

Working at Planned Parenthood of the Great Northwest, Hawai’i, Alaska, Indiana and Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work.

As an organization, we are focused on equity, diversity, and inclusion. Specifically, we recognize that profound racism impacts the education, health, and well-being of people in our communities and we are actively working to address all forms of oppression. We believe our employees should reflect the diversity of the populations we serve, including racial and ethnic diversity. People of color are strongly urged to apply.

About this position:
Under the general supervision of the Revenue Cycle or Patient Financial Services Supervisor, Manager or LSC Revenue Cycle Director, accurately bills third party payers and provides outstanding customer service to patients, health center staff and other customers.

Hours of work may be anywhere from 7am-7pm. Monday - Friday
Currently the position is remote work from home but will move to a hybrid work-remote model. Internet service is required.

The hourly wage for this position is $15.69.

What you’ll be doing:

• Accurately bills third party payers in order to receive maximum reimbursement. Processes bills, follows-up on denied claims, and reconciles third party accounting information. Responds to health center and patient inquiries regarding third party billings and coverage.
• Accurately bills third party payers to receive maximum reimbursement by following all department procedures and processes.
• Checks proof of eligibility in accordance with agency and third party protocols.
• Provides information by responding to inquiries from patients, health center staff, and insurance companies in accordance with the affiliate customer service standards.
• Provides pre-verification services to health centers and patients as requested.
• Ensures bills are processed in a timely fashion by running reports and correcting electronic bill submissions.
• Follows-up on all incorrect, denied, and unpaid claims and reconciles third party accounting information.
• Prepares audit reports by running, collecting, and summarizing information to verify accuracy of claims prior to submittal.
• Posts third party payments to accounts, as well as contractual allowances. Transfers balances to patient responsibility as appropriate. Requests authorization from the supervisor to write-off balances.
• Completes work within authorized time to assure compliance with departmental standards. Consistently meets quality and quantity standards.
• Keeps current on all billing and benefit changes for third party insurance carriers.
• Works collaboratively with the RCO or PFS /LSC team to maximize and facilitate efficient and accurate billing.

We’ll trust you to:

• Adhere to the PPGNHAIK code of conduct and all policies, procedures and protocols.
• Demonstrate and maintain a high degree of professionalism.
• Take action to support the affiliate’s commitment to equity, diversity and inclusion.
• Support and act in accordance with the PPGNHAIK customer service standards.
• Value continuous learning and seek ongoing training and development.

You’ll need to have:

• High school diploma or equivalent
• Minimum of one year of medical insurance experience. Knowledge of medical insurance companies and their billing procedures and basic knowledge of coordination of payments and diagnosis codes required.
• Proficient computer skills including Microsoft Office and electronic medical records

Proof of completed COVID-19 Vaccinations is required prior to starting employment with PPGNHAIK.

Perks:
As part of our total rewards package, we offer meaningful work, promotional opportunities, and competitive compensation. Our attractive benefits package includes medical, dental, and vision coverage for you and eligible dependents, life insurance, short and long term disability coverage, as well as a retirement plan with matching contributions by employer. For additional information regarding compensation, pay scales, or total rewards, please reach out to jobs@ppgnhaik.org.

Next Steps:
Please click apply now below to submit an application and resume. Once your information has been reviewed by our recruitment team, we will reach out by telephone and email to schedule an interview for all qualified applicants. Please continue to check your spam folder for all email communications that may come from our organization.

Equal opportunity employment

PPGNHAIK is an equal opportunity employer and seeks to recruit persons of diverse backgrounds and to support their retention and advancement within the organization. Justice is one of our core values, and we are committed to fostering a workplace culture inclusive of people with respect to their race, ethnicity, national origin, gender/gender identity, sexual orientation, socioeconomic status, veteran status, marital status, age, disabilities, political affiliation, religious beliefs or any other characteristic. Our commitment to justice and diversity also means providing a work environment that is welcoming, respectful and engaging.

Racism deeply impacts the health and wellbeing of our communities, compounding existing disparities and creating intersectional barriers. We strive to name and address these barriers through community engagement and assessment, relevant and effective policy creation, and organizational accountability methods. We support initiatives that address all forms of oppression, however, maintaining an explicit focus on race is essential to advancing equity across our communities. Improving outcomes for people of color will improve outcomes for everyone.

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