Healthcare Account Specialist_Patient Access Center

Why Planned Parenthood?

Working at Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky is more than a job. It provides the opportunity to contribute to our powerful mission and perform meaningful work.

In healthcare services, this means a commitment to providing the absolute best in patient care and education. Our exceptional health center staff drives our mission forward by upholding our acclaimed customer service & confidentiality standards, and working to create a safe, judgement-free space for anyone seeking Planned Parenthood services.

About our Healthcare Account Specialist position

Under the general supervision of the Patient Access Center Manager, responds to health center, patient, and insurance company inquiries at our Tacoma call center.

What will you be doing!

Answers phones and responds to billing inquiries and requests. Performs benefit verification of surgical and other high dollar services, processes payments, and sets up payment plans. Communicates in a clear, positive, and detailed manner while remaining focused on meeting our patient’s needs. Handles delicate, confidential, and stressful situations and performs additional tasks as assigned.

Key Responsibilities:

Answers a multi-lined phone system and responds to a variety of requests from health center staff, patients, and insurance company representatives.

Provides response to questions in a timely, reliable, and courteous manner.

Demonstrates an active, calm, and positive approach to problem solving.

Processes patient payments and sets up payment plans. Addresses patient account questions and works with patients to resolve issues with billing.

Audits and flags patient balances to be sent to the collection agency.

Processes lab billing error requests.

Processes payment validation requests for Action Collection.

Maintains patient accounts by obtaining, recording, and updating personal and financial information.

Verifies insurance/benefit coverage information.

Reviews and responds to PM patient portal messages.

Posts third party payments to accounts; performs write- offs; and moves balances to patient responsibility as appropriate.

Maintains HIPAA compliance standards regarding patient privacy and confidentiality.

Completes work within authorized time to ensure compliance with departmental standards.

Works collaboratively with Revenue Cycle Operations to maximize and facilitate efficient and accurate billing and resolve process and billing issues.

 Participates in the development and implementation of insurance billing procedures and policies for PPGNHAIK and operations policies for the department.

Minimum Qualifications:

High school diploma or equivalent.

One or more years of customer service and medical terminology preferred, and knowledge of medical insurance companies and their billing procedures, basic knowledge of coordination of payments and diagnosis codes.

Salary Range:

Non-exempt: $21.30 -$31.21 hourly 

Position Type: 

Full-time – This is a union position.

Benefits Eligibility:

This position is eligible for PPGNHAIK benefits. As part of our total compensation, we provide a comprehensive benefits plan including medical, dental and vision plans, retirement, paid time off, short and long-term disability and life insurance. For additional information about our benefits program, please send an email to hre.contacts@ppgnhaik.org.

Other Information:

All of our employees must present proof of receiving a current flu shot and two doses of the Covid-19 vaccination prior to their first day of employment.

What we expect from you.

• That you adhere to our code of conduct, policies, procedures, and protocols.
• That you always demonstrate a high degree of professionalism.
• That you always support and model our customer service standards.
• That you value continuous learning and seek ongoing training and development.

Our commitment to diversity:

At PPGNHAIK, we’ve outlined our priorities and goals as we continue to cultivate and promote a diverse, equitable, & inclusive culture that champions dignity, care, and respect, and where employees feel welcomed and motivated to do their best. These priorities reflect our promise to support programs and initiatives that promote continuous learning and organizational development and discussions on DEI topics; provide internal developmental opportunities; and assess what more we can do to nurture a supportive and equitable work environment.

 Equal Employment Opportunity

PPGNHAIK is an Equal Opportunity Employer. Equal Opportunity will be provided to all employees and applicants for employment on the basis of their ability and competence without unlawful discrimination on the basis of their race, color, ethnicity, national origin, gender, gender identity, gender expression, sexual orientation, religion, protected veteran status, marital status, age, disability, or any other status protected by applicable state or federal law.