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Planned Parenthood of Illinois
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  • Manager of Billing and Credentialing The Manager of Billing and Creden... Read More
    Manager of Billing and Credentialing The Manager of Billing and Credentialing is responsible for ensuring that all Health Center services are billed, collected, and reconciled, ensuring that all providers and locations are credentialed and re-credentialed, and supervising effective account receivables processes through accurate patient account maintenance, statement generation, and timely follow up. This position provides supervisory support across multiple teams that contributes to charge capturing, billing, collections and provider credentialing. Essential Functions: The Manager of Billing and Credentialing serves as the supervisor responsible for health center billing, Epic Workques, charge error resolution, and, patient customer service and follow up. This role also serves as the Health Center point-of-contact for provider credentialing and follow up. The Manager is charged with proactively ensuring patient account satisfaction and helping ensure that Planned Parenthood of Illinois' (PPIL) practices remain in alignment with state, federal, and payer billing compliance. Supervises the Contracts and Credentialing Team and ensures accuracy by applying consistent technical knowledge and follow up in daily workflow processes Supervises the Billing/Revenue Integrity Team and ensures that all services that are received are reimbursed Serves as Revenue Cycle Management (RCM) Liaison with PPIL Vendors to resolve Billing and Credentialing scopes through timely follow up Ensures that all Health Center services are charged and that all Pre-Bill errors are resolved daily in the Epic Workques. Ensures that accurate notes and complete follow up statuses are listed on patient accounts. Ensures the maintenance and updating of the PPIL Fee schedules. Ensures the maintenance and updating of the PPIL Charge master pricing and Coding by applying consistent technical knowledge and follow up Ensures Team compliance with State, Federal and payer rules to prevent external audits and revenue loss Ensures timely processing and resolution of Contact Center, Vendor and patient request. Ensures up to date documentation is maintained in the patient accounting system to meet quality assurance and productivity standards. Serves as the Internal Project Manager for Revenue Cycle Audits and Coding Training Assist as an RCM Payer Relations "problem solver" on all denials/revenue loss related task and ensures follow up Proactively Ensures Team PPFA Financial performance metrics are met by running EPIC BI report and monitoring Epic dashboards to ensure team guidance to prevent revenue loss Other Functions: Proactively stays up to date on Revenue Cycle standards, Coding and Credentialing through self- initiated professional development to ensure accountability in performance of the duties of the role. Supports and Implements the Directives of the Director of Payer Relations and Revenue Cycle Management to ensure team compliance with Department Policies and Procedures. Coordinates with Health Center staff to ensure that all clinical documents in the EHR are received and encounters are closed daily with reconciliation. Maintain a professional and collaborative relationship with all teammates and vendors to resolve issues, increase knowledge of insurance requirements, and create standardized workflows Facilitate training and onboarding of new teammates as well as ongoing training and education for established team members throughout the State of Illinois. Through these activities demonstrate an understanding of and commitment to PPIL core values of access, activism, care, confidentiality, diversity, excellence, integrity, respect, self-determination, and stewardship; practice these values in relations with internal and external customers Perform other duties as assigned. Supervisor: Director of Payer Relations and Revenue Cycle Management Status: Full-time. Exempt from the overtime provisions of the wage and salary regulations. Physical Demands: While performing the duties of this job, the employee is regularly required to stand, walk, talk, read, see and hear. The employee is frequently required to use hands and fingers to type, handle, or feel and reach. The employee is regularly required to sit. The employee must occasionally lift and/or move up to 25 pounds. Work Environment: The position will be a hybrid model of remote work and on-site weekly. This position requires traveling to various Health Centers statewide periodically therefore a personal vehicle, a valid Illinois driver's license, and auto insurance in accordance with agency liability standards is required. $75,000 - $75,000 a year Planned Parenthood works affirmatively to include diversity among its workforce and does not discriminate in the selection of its staff based on factors including but not limited to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability, income, marital status or any other characteristic protected under federal, state or local law. We encourage you to apply anyway if you may be exactly who we are looking for! Read Less
  • Reproductive Health Assistant - Waukegan The Reproductive Health Assis... Read More
    Reproductive Health Assistant - Waukegan The Reproductive Health Assistant (RHA) I performs the basic duties of a medical assistant, such as maintaining medical records, logs, and inventory counts; performing routine clerical duties; performing basic lab work; and responding to patient inquiries and needs, including fee assessment and insurance coverage. This position works under the supervision of the Health Center Manager. Essential Functions: Demonstrate proficiency in all duties related to: providing care to patients, responding to patient needs and inquiries, providing support to other staff throughout patient visits, knowledge of services provided by PPIL and associated fees, providing patient-centered customer service, keeping accurate records, communicating with patients, the public, staff, and volunteers in a civil, courteous, warm, and sensitive manner, treating all people, regardless of gender, sexual orientation, race, color, religion, national origin, age, economic condition, status as a qualified individual with a disability, and any additional categories with honor, respect, and inclusivity. Within three months' time, complete all required training for level 1 proficiencies and standards. Demonstrate ability to achieve and maintain Reproductive Health Assistant I standards, performing job duties acquired by completing trainings in each related station as needed: Completion of Patient Access training, including registration basics, scheduling, front desk duties, financial assistance, healthcare corporate compliance, mandated reporting, safety/security, DEI, gender diversity, birth control options, abortion services, sexually transmitted infections, electronic health record software, communication tools, and pharmacy management module. OR completion of Clinical Support training, including family planning counseling, venipuncture, lab proficiencies, blood pressure, clinical support duties, healthcare corporate compliance, mandated reporting, safety/security, DEI, gender diversity, birth control options, abortion services, sexually transmitted infections, electronic health record software, communication tools, and pharmacy management module. Completion of In This Together Values assessment. Ensure that each patient receives the care and information they need by providing efficient, effective, and customer-oriented service in a civil, courteous, warm, and sensitive manner. Participate in Health Center efforts: in compliance with organizational quality assurance guidelines and pertinent government regulations including CLIA, HIPAA, and OSHA. In achievement of medical visit efficiency and productivity goals. In attainment of annual health center fiscal goals in revenue, expenses, and contribution margins. Provide information, assistance, and support for patients facing emotional, family, and/or financial problems related to healthcare; help patients needing referral for services related to pre-natal care, adoption services, abortion services, financial assistance, and personal family counseling. Provide medications and contraceptive supplies, and provide information and instructions for their use, as appropriate and delegated by the Health Center Manager and medical staff; maintain inventory count of medications and contraceptive supplies; ensure no expired medications or contraceptive supplies are being dispersed. Assist in the clerical and informational tasks related to proper follow-up of patients according to the protocols and procedures of PPIL. Assist in the care and maintenance of PPIL equipment and efforts to maintain efficient, clean, and comfortable work locations. Participate, as assigned, in routine Health Center chart audits and quality assurance procedures. Provide PPIL approved information about family planning methods, abortion, and other services offered and give regular feedback to Health Center Manager regarding training and continuing education needs. Demonstrate an understanding of and commitment to remain informed about PPIL protocols, policies, and procedures. Demonstrate an understanding of and commitment to PPIL core values of access, activism, care, confidentiality, diversity, excellence, integrity, respect, self-determination, and stewardship; practice these values in relations with internal and external customers. Other duties as assigned. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, walk, talk, see, and hear. The employee frequently is required to use hands and fingers to handle, type, feel, and reach. The employee must occasionally lift and/or move up to 25 pounds and must occasionally assist in movement of patients. Supervisor: Health Center Manager Status: Full time. Non-exempt from the overtime provisions of the wage and salary regulations. Education High School Diploma or High School Equivalency (HSE) required. Medical Assistant Certification or equivalent experience preferred. Additional training and/or education in reproductive health or medical services is desirable. Experience Previous professional experience with the provision of family planning services is preferred. Previous medical laboratory and/or counseling experience is preferred. Previous familiarity with computer systems, such as electronic health record (EHR) software, is preferred. Personal and Professional Qualities Commitment to the efficient and customer-oriented provision of services, as well as a commitment to the operating goals of Planned Parenthood of Illinois. Excellent communication skills. Ability to be culturally inclusive and communicate with patients, the public, staff, and volunteers in a civil, courteous, warm, and sensitive manner, including the use of correct pronouns for everyone. Bi-lingual ability in Spanish or other languages common to PPIL patients is helpful. A team-work focused mentality. Ability to actively engage and participate in a team-centered approach to health care, while exhibiting strong organizational skills and attention to detail required. Ability to work a schedule that may include evening and weekend hours required. Ability to travel to assigned Health Center, and to other PPIL work locations as needed, required. $20.15 - $20.15 an hour Planned Parenthood works affirmatively to include diversity among its workforce and does not discriminate in the selection of its staff based on factors including but not limited to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability, income, marital status or any other characteristic protected under federal, state or local law. We know that BIPOC and women identifying candidates are less likely to apply to jobs unless they meet every requirement. Please do not be deterred if your past experience doesn't align perfectly with every qualification in the job posting. We encourage you to apply anyway! You may be exactly who we are looking for! We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us. Read Less
  • Reproductive Health Assistant - Austin The Reproductive Health Assista... Read More
    Reproductive Health Assistant - Austin The Reproductive Health Assistant (RHA) I performs the basic duties of a medical assistant, such as maintaining medical records, logs, and inventory counts; performing routine clerical duties; performing basic lab work; and responding to patient inquiries and needs, including fee assessment and insurance coverage. This position works under the supervision of the Health Center Manager. Essential Functions: Demonstrate proficiency in all duties related to: providing care to patients, responding to patient needs and inquiries, providing support to other staff throughout patient visits, knowledge of services provided by PPIL and associated fees, providing patient-centered customer service, keeping accurate records, communicating with patients, the public, staff, and volunteers in a civil, courteous, warm, and sensitive manner, treating all people, regardless of gender, sexual orientation, race, color, religion, national origin, age, economic condition, status as a qualified individual with a disability, and any additional categories with honor, respect, and inclusivity. Within three months' time, complete all required training for level 1 proficiencies and standards. Demonstrate ability to achieve and maintain Reproductive Health Assistant I standards, performing job duties acquired by completing trainings in each related station as needed: Completion of Patient Access training, including registration basics, scheduling, front desk duties, financial assistance, healthcare corporate compliance, mandated reporting, safety/security, DEI, gender diversity, birth control options, abortion services, sexually transmitted infections, electronic health record software, communication tools, and pharmacy management module. OR completion of Clinical Support training, including family planning counseling, venipuncture, lab proficiencies, blood pressure, clinical support duties, healthcare corporate compliance, mandated reporting, safety/security, DEI, gender diversity, birth control options, abortion services, sexually transmitted infections, electronic health record software, communication tools, and pharmacy management module. Completion of In This Together Values assessment. Ensure that each patient receives the care and information they need by providing efficient, effective, and customer-oriented service in a civil, courteous, warm, and sensitive manner. Participate in Health Center efforts: in compliance with organizational quality assurance guidelines and pertinent government regulations including CLIA, HIPAA, and OSHA. In achievement of medical visit efficiency and productivity goals. In attainment of annual health center fiscal goals in revenue, expenses, and contribution margins. Provide information, assistance, and support for patients facing emotional, family, and/or financial problems related to healthcare; help patients needing referral for services related to pre-natal care, adoption services, abortion services, financial assistance, and personal family counseling. Provide medications and contraceptive supplies, and provide information and instructions for their use, as appropriate and delegated by the Health Center Manager and medical staff; maintain inventory count of medications and contraceptive supplies; ensure no expired medications or contraceptive supplies are being dispersed. Assist in the clerical and informational tasks related to proper follow-up of patients according to the protocols and procedures of PPIL. Assist in the care and maintenance of PPIL equipment and efforts to maintain efficient, clean, and comfortable work locations. Participate, as assigned, in routine Health Center chart audits and quality assurance procedures. Provide PPIL approved information about family planning methods, abortion, and other services offered and give regular feedback to Health Center Manager regarding training and continuing education needs. Demonstrate an understanding of and commitment to remain informed about PPIL protocols, policies, and procedures. Demonstrate an understanding of and commitment to PPIL core values of access, activism, care, confidentiality, diversity, excellence, integrity, respect, self-determination, and stewardship; practice these values in relations with internal and external customers. Other duties as assigned. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, walk, talk, see, and hear. The employee frequently is required to use hands and fingers to handle, type, feel, and reach. The employee must occasionally lift and/or move up to 25 pounds and must occasionally assist in movement of patients. Supervisor: Health Center Manager Status: Full time. Non-exempt from the overtime provisions of the wage and salary regulations. Education: High School Diploma or High School Equiality (HSE) required. Medical Assistant Certification or equivalent experience preferred. Additional training and/or education in reproductive health or medical services is desirable. Experience: Previous professional experience with the provision of family planning services is preferred. Previous medical laboratory and/or counseling experience is preferred. Previous familiarity with computer systems, such as electronic health record (EHR) software, is preferred. Personal and Professional Qualities: Commitment to the efficient and customer-oriented provision of services, as well as a commitment to the operating goals of Planned Parenthood of Illinois. Excellent communication skills. Ability to be culturally inclusive and communicate with patients, the public, staff, and volunteers in a civil, courteous, warm, and sensitive manner, including the use of correct pronouns for everyone. Bi-lingual ability in Spanish or other languages common to PPIL patients is helpful. A team-work focused mentality. Ability to actively engage and participate in a team-centered approach to health care, while exhibiting strong organizational skills and attention to detail required. Ability to work a schedule that may include evening and weekend hours required. Ability to travel to assigned Health Center, and to other PPIL work locations as needed, required. $20.15 - $20.15 an hour Planned Parenthood works affirmatively to include diversity among its workforce and does not discriminate in the selection of its staff based on factors including but not limited to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability, income, marital status or any other characteristic protected under federal, state or local law. We know that BIPOC and women identifying candidates are less likely to apply to jobs unless they meet every requirement. Please do not be deterred if your past experience doesn't align perfectly with every qualification in the job posting. We encourage you to apply anyway! You may be exactly who we are looking for! Read Less

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