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Planned Parenthood Los Angeles is seeking an
Insurance Verifier to work in our Downtown Los Angeles Headquarters. The Insurance Verifier is responsible for checking insurance eligibility and obtaining authorizations from payors and collaborate with health center and Revenue Cycle Management Staff.
Over one hundred years ago, Planned Parenthood was founded on the idea that everyone should have the information and care they need to live strong, healthy lives and fulfill their dreams. Founded 57+ years ago, Planned Parenthood Los Angeles is one of the largest providers of reproductive health care services in Los Angeles County. The Planned Parenthood Los Angeles (PPLA) team works together to provide high-quality, affordable reproductive health care to women, men, and young people across Los Angeles County. At PPLA, you will discover a culture of like-minded individuals who are eager to make positive contributions to their community and to the Planned Parenthood mission.
All employees of PPLA are defined as Healthcare Workers by current Public Health Orders and are required to be fully vaccinated against COVID-19. Proof of vaccination or an approved exemption must be submitted in order to be eligible for employment consideration.
Our Ideal Candidate will have the following qualifications:
- High School Diploma or GED required.
- Knowledge of medical terminology and general knowledge of third party payors.
- One (1) to two (2) years admitting/registration or equivalent healthcare experience preferred. Prior Insurance Verification experience preferred.
- History of and currently exhibits excellent customer service skills.
- Knowledge of Health Care plans. Experience with Passport OneSource and Medi-HMO plans a plus.
- Knowledge of ICD-10 and CPT codes.
- Demonstrated experience with referral authorization process.
- Demonstrated ability to work effectively and efficiently with nursing staff for scheduling and clinical feedback.
- Bilingual English/Spanish required.
- Highly effective written and verbal communication skills.
- Effective use of diplomacy and candor with highly trained professionals.
- Proficient in Microsoft Word, Excel, Outlook and PowerPoint.
- Experience with NextGen and EPM a plus.
- Ability to work well independently.
- Ability to recognize and maintain confidentiality.
- Ability to demonstrate PPLA’s Service Standards.
- Ability to ensure proper billing or financial procedures for patients.
- Ability and willingness to travel within Los Angeles County.
- Reliable means of transportation for onsite and off-site work.
- If using a personal vehicle to drive for work purposes, a valid CA driver license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required.
About the position:
- Update and correct authorizations from contracted medical groups.
- Follow up with patients in regard to their benefits and approved services.
- Accurately inform health center staff on scheduled patients’ benefits (coverage vs. no coverage).
- Knowledge of various programs used to verify eligibility and benefit information.
- Problem solve any discrepancies regarding eligibility, billing and benefit verification in a timely manner.
- Accurately verify insurance coverage, including medical group eligibility.
- Ensure department adheres to established program, insurance or contract standards.
- Maintain an accurate database of information.
- Compile data in timely manner to ensure prompt turnaround time.
- Ensure accurate and appropriate insurance and benefit information is submitted consistently.
- Review insurance benefits and financial status with patient to determine necessary payments.
- Primary contact with health center for Insurance verification questions.
- Keep Lead Insurance Verifier informed of issues, trends and other items that may impact Patient Services.
- Perform other duties and special projects as assigned by Director, Revenue Cycle and Insurance Verification.
Generous salary and benefits package includes:
- Medical, dental, and vision coverage options for you and eligible dependents
- Free basic life/AD&D policy with additional voluntary coverage options
- Short Term Disability, Critical Illness and Accident policies
- 403(b) Retirement plan with up to 3% employer match
- Medical and Dependent Flexible Spending Account plans
- Public Transportation and Commuter Pre-Tax Reimbursements
- Generous vacation, sick, and holiday benefits
- Hiring Range: $24.00 - $26.40 per hour (Non-Exempt)
Compensation Philosophy and Position Hiring Range:
At Planned Parenthood Los Angeles we continuously work towards our values of Justice, Equity, Diversity, and Inclusion including with our compensation philosophy. PPLA recognizes that decisions about pay and benefits have significant impact on staff, so we are committed to ensuring all positions are rooted in a description that identifies competencies, duties, responsibilities and qualifications, and that they are compensated equitably which takes into account both internal organizational equity and market compensation data for similar roles.
Equal Employment Opportunity will be afforded to all applicants and other covered persons without regard to protected characteristics, including their perceived protected characteristic. Protected categories include: race (including traits historically associated with race, including but not limited to, hair texture and protective hair styles such as, braids, locs, and twists as examples but not exhaustive list), color, religion or religious creed (including religious belief, observation, practice, dress, and grooming practices), national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding/chestfeeding, or related medical conditions), reproductive health decision-making, gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status (including past, current or prospective service in the uniformed service), and any other characteristic protected under applicable federal, state or local law. PPLA will consider for employment qualified applicants with criminal histories in accordance with the requirements of Los Angeles Fair Chance Initiative for Hiring.
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