The vision of Clinical Health Network for Transformation (CHN) is to better fulfill the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between Planned Parenthood affiliates across the United States.
CHN is looking for individuals who are committed to supporting our shared goal of strengthening and enhancing our awareness and commitment to advancing the cause of health and race equity in our organization.
Reporting directly to the Revenue Cycle Manager, the Billing Specialist is responsible for performing daily resolution of electronic claim clearing house rejections and system errors ensuring timely resolution and claim submissions.
Essential Functions
- Review and resolve claim rejections/errors received from clearinghouse/ Epic System
- Ensure all rejected claims are resubmitted in a timely manner to ensure all timely filing guidelines
- are met
- Identify billing trends related to errors and rejections and inform management of identified root causes
- Perform various clerical activities to support daily operations
- Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations
- Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
- Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
- Provides positive and development feedback and accountability related to practices including, but not limited to, equity
The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at anytime.
Qualifications and Experience (Required)
- Minimum of 2 years of relevant account receivable experience
- Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT)
- Knowledge of medical terminology
- Strong analytical and problem-solving abilities
- Proficiency with Microsoft software (Excel, etc.)
- Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment
- Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary
- Strong attention to detail and follow-up; and ability to multi-task in fast-paced environment
- Demonstrated dedication to Planned Parenthood’s mission, vision, and values
- Strong interpersonal skills and the ability to build relationships with stakeholders
- Excellent time management, and problem-solving skills
Qualifications and Experience (Preferred)
- Strong General Technology Skills: proficient utilization of Excel, Word, and Windows environment, Epic, eCW, NextGen or other practice management systems experience a plus
- Medical Billing and Coding certification, a plus
- Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle
Key Requirements
- Commitment to advancing race (+) equity in one’s work: interested in expanding knowledge about the role that racial inequity plays in our society
- Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
- Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn
- Strong sense of accountability to equitable practices
- Understanding of the impact of identity dynamics on organizational culture
- Commitment to CHN and Planned Parenthood’s In This Together service ethos, workplace values, and service standards
Clinical Health Network for Transformation (CHN) is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression/identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member/veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local. We are committed to building an inclusive workplace that values racial & social justice. We strongly encourage all persons to apply, including people of color and members of the LGBTQIA+ community.
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Last updated on Feb 4, 2025