Centralized Services Associate - St Paul, United States - Planned Parenthood

Planned Parenthood St Paul, United States

3 weeks ago

Description

Planned Parenthood North Central States

Iowa, Minnesota, Nebraska, North Dakota, South Dakota

Centralized Services Associate - Saint Paul, MN

Pay: $19 per hour (experience will be compensated)
Schedule: Full-time, 40 hours per week
Shift times: Monday-Friday, 8am - 4:30pm
Location: Vandalia Health Center (671 Vandalia Street, Saint Paul, MN
Job type: Non-exempt
Union Membership: This position is represented by SEIU.
Questions? Contact

Benefits and Perks:

We offer a comprehensive benefits package, including:

Medical, Dental & Vision Insurance with equity-based premium tiers
NICE 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 more
Continued Education Reimbursement: up to $500 per year & 2 paid CEU days.
Flex Spending Account
Life Insurance
Eligibility for Federal Student Loan Forgiveness
Paid time off: PTO starting at 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% deferred
8 weeks Paid Parental Leave
Pet Insurance
Bereavement Leave
Earned Extended Leave
Free subscription to Headspace App
Time off to vote.
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.

Minimum Qualifications:

1-2 years customer service experience
Ability to learn and understand complex medical terminology
Comfortable working with multiple applications and cloud-based software systems simultaneously
Strong communications skills and ability to connect with patients regarding sensitive subjects

Your Day-to-Day Responsibilities:

Pre-procedural phone calls:

Conduct scheduled outbound phone calls to patients prior to their abortion appointment at a health center
Interview and screen patients, conduct patient history review, and document detailed patient data in electronic medical record
Provide factual, unbiased information to patients seeking abortion, including the difference between medical and procedural abortion
Inform 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' needs
Ensure that patients have been adequately prepared for their abortion appointment and answer patient questions
Ensure all patients receive unbiased patient support and assistance
Direct patients to appropriate internal and external support resources

Medical records:

Track incoming requests for medical records via mail, email, telephone, fax and within various electronic portals
Identify and highlight salient data on medical record requests to facilitate expedited processing
Process medical record requests and Release of Information submissions including retrieving patient charts, accurately duplicating records, and delivering records as requested
Manage incoming and outgoing medical record chart storage with offsite storage facility
Ensure 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 charts
Support risk management and clinical quality efforts by identifying and proactively communicating risks, errors, near misses, and patient safety concerns in a timely manner

Patient charts:

Receive and track duplicate chart merge requests from revenue management, health centers and virtual clinics
Review chart merge requests for accuracy and assess patient demographic information, clinical encounter history, chart origin, and patient medical history to determine the correct primary chart
Examine chart merge requests to determine compliance with PPNCS guidelines for electronic record merges
Review chart merge requests assessed by other Centralized Services Associates for redundancy
Submit final chart merge instructions to Clinical Systems Management for irreversible merging of patient charts and medical records
Participate in chart merge audit procedures

Prior authorizations:

Provide front-line support for patients to respond to prior authorization requests from insurance companies and pharmacy benefit managers
Asses prior authorization requests and consult with internal partners to collate the necessary information for responding to unique requirements of various pharmacy benefit managers
Task complex prior authorization requests to clinicians or physicians as appropriate and follow up to complete the submission process
Develop a functional mastery of multiple cloud-based portals and computer programs for processing prior authorization requests and appealing denials
Maintain a familiarity with the procedures and requirements for common insurance companies and pharmacy benefit managers within the affiliate
Receive prior authorization denials and immediately initiate appeal process, coordinating complex medical terminology and phraseology with providers to effectively advocate for patient needs
Follow up with patients to collect relevant information when necessary and maintain communication with patients to keep patients informed of progress

Lab results:

Monitor incoming lab results via mail, email, telephone, fax and within various electronic portals
Track receipt of lab results and initiate process of clinical tasking to ensure appropriate follow-up with patients by nurses/clinicians
When directed by clinicians, assist patients with scheduling and preparing for telehealth appointments in virtual clinics for patient education, options counseling, and treatment
Communicate with state departments of health and university laboratories to ensure accurate reporting of abnormal lab results
Coordinate submission of samples and reporting of results with external partners for processing of mail-order STI testing kits for telehealth patients

Other patient communication and administrative responsibilities:

Answer phones, direct calls, and reach out to patients as needed to support the work of the Centralized Services Department
Participate in team approach to patient care and work cooperatively with nurses and clinicians to achieve productivity standards and exceptional customer service
Perform various Centralized Services administrative functions
Support the onboarding of new employees and the cross-training of established employees
Maintain a working knowledge of Planned Parenthood policies and procedures
Perform duties using Microsoft Office Suite
Follow all federal, state and local laws regarding mandated reporting, abortion services, healthcare services and HIPAA

About 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 Disabilities

The 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 c)

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