Job description
Planned Parenthood Los Angeles is seeking an experienced
Insurance Verifier with excellent clerical and customer service skills 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
- One (1) to two (2) years admitting/registration or equivalent healthcare experience preferred. Prior Insurance Verification experience preferred
- Bilingual English/Spanish strongly preferred
- Knowledge of ICD-10 and CPT codes
- Knowledge of medical terminology and general knowledge of third party payors
- Knowledge of Health Care plans. Experience with Passport OneSource and Medi-HMO plans a plus
- History of and currently exhibits excellent customer service skills
- 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.
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)
- 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 a 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
- Knowledge of various programs used to verify eligibility and benefit information
- 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
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
Planned Parenthood Los Angeles is an Equal Opportunity Employer. We value a diverse workforce and inclusive workplace. People of color, people with disabilities, and lesbian, gay, bisexual, and transgender people are encouraged to apply. We consider all applicants without regard to race, color, ancestry, religion, gender, gender identity, gender expression, national origin, age, disability, socio-economic status, marital or veteran status, medical condition, pregnancy status, sexual orientation, or genetic information. 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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