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Centralized Services Associate

4 months ago

St Paul, United States Planned Parenthood Full time

Planned Parenthood North Central StatesIowa, Minnesota, Nebraska, North Dakota, South DakotaCentralized Services Associate - St. Paul, MNPay: $19 per hour (experience will be compensated)Schedule: Full-time, 40 hours per weekShift times: Monday-Friday, 8am-4:30pmLocation: Vandalia Health Center 671 Vandalia St., St. Paul, MNJob type: Non-ExemptUnion Membership: This position is represented by SEIU.Questions? Contact Jobs@ppncs.org.Benefits and Perks: We offer a comprehensive benefits package, including:Medical, Dental & Vision Insurance with equity-based premium tiersNICE HEALTHCARE. A free, virtual primary care for entire household (in-home available for qualifying locations) Services include: 80 free labs, free x-rays, and physical tests, live, virtual physical therapy, 550+ free medications and moreContinued Education Reimbursement: for RNs (up to $1,000 per year & 2 paid CEU days), and MAs, LPNs, Ultrasound Techs, and all other employees represented by the Union (up to $500 per year & 2 paid CEU days).Flex Spending AccountLife InsuranceEligibility for Federal Student Loan ForgivenessPaid time off: PTO starting at .05769 accrual rate per hour worked.8 hours volunteer paid time off annually.8 paid federal holidays & 2 paid floating holidays.Retirement: 403(b) with employer match, 50% for the first 6% deferred8 weeks Paid Parental LeavePet InsuranceBereavement LeaveEarned Extended LeaveFree subscription to Headspace AppTime off to vote.We also offer employee discounts for electronics, appliances, hotels, gift cards, apparel, cars, fitness memberships, groceries, and at Office Depot, Verizon, AT&T, Dell & more.We also offer:Start date flexibility.Comprehensive paid training for all health services positions & flexibility with hours per week during training. Training includes classroom, mock clinic, and shadowing shifts.Shift differentials:$1.50/hour (weekend), $3.00/hour (evening), $4.00/hour (float/travel), $2.00/hour (Bilingual), and $3.00/hour (ultrasound)Travel reimbursement.Schedules created & sent out 6 weeks in advance.Option of picking up additional shifts, including at other locations other than your "home" clinic.We also offer:Start date flexibility.Comprehensive paid training for all health services positions.Travel reimbursement.Bilingual and/or weekend differentials when applicableMinimum Qualifications: 1-2 years customer service experienceAbility to learn and understand complex medical terminologyComfortable working with multiple applications and cloud-based software systems simultaneouslyStrong communications skills and ability to connect with patients regarding sensitive subjectsYour Day-to-Day Responsibilities: Pre-Procedural Phone CallsConduct scheduled outbound phone calls to patients prior to their abortion appointment at a health centerInterview and screen patients, conduct patient history review, and document detailed patient data in electronic medical recordProvide factual, unbiased information to patients seeking abortion, including the difference between medical and procedural abortionInform patients in a non-directive manner about all options available to them in the event of an unintended pregnancy and make a referral for service based on the patients' needsEnsure that patients have been adequately prepared for their abortion appointment and answer patient questionsEnsure all patients receive unbiased patient support and assistanceDirect patients to appropriate internal and external support resourcesMedical RecordsTrack incoming requests for medical records via mail, email, telephone, fax and within various electronic portalsIdentify and highlight salient data on medical record requests to facilitate expedited processingProcess medical record requests and Release of Information submissions including retrieving patient charts, accurately duplicating records, and delivering records as requestedManage incoming and outgoing medical record chart storage with offsite storage facilityEnsure compliance with all federal and state laws, HIPAA policies, and PPNCS procedures when working with medical records, requests for release of information, and Nextgen patient chartsSupport risk management and clinical quality efforts by identifying and proactively communicating risks, errors, near misses, and patient safety concerns in a timely mannerPatient ChartsReceive and track duplicate chart merge requests from revenue management, health centers and virtual clinicsReview chart merge requests for accuracy and assess patient demographic information, clinical encounter history, chart origin, and patient medical history to determine the correct primary chartExamine chart merge requests to determine compliance with PPNCS guidelines for electronic record mergesReview chart merge requests assessed by other Centralized Services Associates for redundancySubmit final chart merge instructions to Clinical Systems Management for irreversible merging of patient charts and medical recordsParticipate in chart merge audit proceduresPrior AuthorizationsProvide front-line support for patients to respond to prior authorization requests from insurance companies and pharmacy benefit managersAsses prior authorization requests and consult with internal partners to collate the necessary information for responding to unique requirements of various pharmacy benefit managersTask complex prior authorization requests to clinicians or physicians as appropriate and follow up to complete the submission processDevelop a functional mastery of multiple cloud-based portals and computer programs for processing prior authorization requests and appealing denialsMaintain a familiarity with the procedures and requirements for common insurance companies and pharmacy benefit managers within the affiliateReceive prior authorization denials and immediately initiate appeal process, coordinating complex medical terminology and phraseology with providers to effectively advocate for patient needsFollow up with patients to collect relevant information when necessary and maintain communication with patients to keep patients informed of progressLab ResultsMonitor incoming lab results via mail, email, telephone, fax and within various electronic portalsTrack receipt of lab results and initiate process of clinical tasking to ensure appropriate follow-up with patients by nurses/cliniciansWhen directed by clinicians, assist patients with scheduling and preparing for telehealth appointments in virtual clinics for patient education, options counseling, and treatmentCommunicate with state departments of health and university laboratories to ensure accurate reporting of abnormal lab resultsCoordinate submission of samples and reporting of results with external partners for processing of mail-order STI testing kits for telehealth patientsOther patient communication and administrative responsibilitiesAnswer phones, direct calls, and reach out to patients as needed to support the work of the Centralized Services DepartmentParticipate in team approach to patient care and work cooperatively with nurses and clinicians to achieve productivity standards and exceptional customer servicePerform various Centralized Services administrative functionsSupport the onboarding of new employees and the cross-training of established employeesMaintain a working knowledge of Planned Parenthood policies and proceduresPerform duties using Microsoft Office SuiteFollow all federal, state and local laws regarding mandated reporting, abortion services, healthcare services and HIPAAAbout Us: At PPNCS, we believe all people deserve the right, the freedom, and the opportunity to follow their personal ambitions and choose their own path toward a healthier, more meaningful life. That's why we protect, promote, and provide comprehensive and progressive sexual and reproductive health care for generations of people and families with empathy, care, and respect. We are looking for passionate, dedicated staff who are eager to make positive contributions to their community and to the Planned Parenthood mission. To learn more: Our Mission.When you work for Planned Parenthood, you make a difference in the lives of those we serve by affirming the human right to reproductive health and freedom. Planned Parenthood is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, sex, gender identity or gender expression, national origin, age, veteran status, marital status, religion, sexual orientation, size, disability, socioeconomic status, or status regarding public assistance. Planned Parenthood is committed to encouraging and promoting diversity as well as providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Planned Parenthood is dedicated to an equitable and inclusive work environment and encourages all interested candidates to apply regardless of initial skill set.*Any job offer will be contingent upon the results of a background investigation. *This position is included in the SEIU bargaining unit, and depending on state law, requires union dues be deducted from employee paychecks in an amount up to 2.25% of gross pay.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)