Insurance Verifier

Planned Parenthood Los Angeles is seeking an experienced Temp 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.

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

About the position:

• Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPLA locations and by all PPLA employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees and contractors.
• 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
• Non-exempt pay range: 25.00 - 26.40 per hour.

Compensation Philosophy and Position Hiring Range:

At Planned Parenthood Los Angeles we continuously work towards our value of "we respect and honor all people", which also relates to 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 considers 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.