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Billing/GFE Support Specialist
4 months ago
**Billing/GFE Support Specialist - Los Angeles, CA**
Downtown Los Angeles / Administration Finance & Accounting / Full-Time Regular Planned Parenthood Los Angeles is seeking an experienced **Billing/GFE Support Specialist** with excellent customer service skills to work full-time in our Downtown Los Angeles Headquarters. The Billing/GFE Specialist is responsible for processing Good Faith Estimates to self-pay patients in order to comply with the No Surprises Act. The GFE Specialist will process and distribute a Good Faith Estimate of charges to any self-pay or applicable patient(s) who schedule their visit between 8 and 3 days before their scheduled appointment date. Also assist in coordination of any patient visit with a special funding source (i.e., Justice, Lileth Fund, etc.) and/or Out of State patients with special funding, in need of financial assistance, or have special circumstances. Perform other duties as assigned or directed. 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 56+ 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 equivalent required
+ At least three (3) years experience as a Medical Biller required
+ Complete understanding of medical insurance eligibility
+ Complete understanding of medical insurance billing, collections, and reimbursement
+ Knowledge with various payors Family PACT, Medi-CAL, HMOs, IPAs, PPOs, POS, EPO, Medicare, etc.
+ Process and deliver Good Faith Estimates to self-pay patients prior to their scheduled appointment date to comply with the No Surprises Act
+ Receive incoming patient tasks from the Call Center and expedite the GFE to the patient as required
+ Document GFE details, follow-up, and/or out of state patient coordination efforts into the notes section of the NG Appointments resubmission efforts in the patients EPM chart
+ Deliver the GFE to the patient via their preferred method of communication: mail, email, and text message; the communication is to be documented in the notes section of the NextGen Appointment book
+ Support the Billing department by assisting in resolving patient billing disputes, Insurance billing disputes, credit balance review, refund processing, and expediting patient bills when applicable. Proper follow-up and documentation in the NextGen system is required for all of the aforementioned duties/assignments
+ Recognize patterns or trends and inform manager, as well as, offer suggestions for improvement in work flow and processes, revenue collection, etc.
**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
**About the position:**
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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