Medical Biller (HMO)/Collector - Los Angeles, CA

Planned Parenthood Los Angeles is seeking an experienced Medical Biller (HMO)/Collector with excellent communication and customer service skills to work in our Downtown Los Angeles Headquarters. The Medical Biller/Collector is responsible for the reconciliation and claim submission of each patient visit for all sites within the PPLA organization. 
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 57+ 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 receive the seasonal influenza immunization and updated COVID-19 immunization (2024-2025 formula) OR wear a respiratory mask when in contact with patients or working in patient care areas. 

Our Ideal Candidate will have the following qualifications:

• High school diploma or equivalent required.
• Three (3) years experience as a medical biller.
• One (1) year experience billing Medi-CAL managed care plans and various medical groups.
• Complete understanding of medical billing – coding, documentation, claim filing, appeals, payment posting, accounts receivable.
• Knowledge with various payors – Family PACT, Medi-CAL, Medi-HMOs, HMOs, IPAs, PPOs, POS, EPO, Medicare, etc.
• Ability to work independently and as a team member.
• Ability to communicate effectively both written and orally.
• Ability to read and implement written instructions. 
• Perform work accurately and efficiently.
• Availability to work flexible hours, including weekends and evenings as required. 
• Ability and willingness to travel within Los Angeles County.
• Reliable means of transportation for onsite and off-site work.
• If using a personal vehicle to drive for work purposes, a valid CA driver license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required.

About the position:

• Abortion patients are cared for at each of our health centers, and in part through the administrative, support, and other non-clinical services provided at all PPLA locations, and by all PPLA employees. Supporting these critical services is an essential job duty, and a fundamental responsibility of all employees and contractors.
• Responsible for the collection, handling and processing of all encounter charges for all sites.
• Responsible for the monitoring and correction of red edits.
• Responsible for reconciling tracking claims submission on balance sheet.
• Liaison to Center Managers and CDE staff regarding charge errors identified during the review process.
• Assign appropriate payor source for Medi-HMO and Insurance claims. Any new payor sources needing to be entered, a copy of information must be forwarded to Business Office Manager.
• Approve claims and transmit claims according to weekly schedule. Claims submission lag time shall be no longer than 7 days from date of service.
• Participate in Health Center/affiliate efforts to achieve established revenue cycle goals. 
• Perform other duties as may be assigned by the Managed Care Collections Supervisor  and/or Director, Revenue Cycle & Insurance Verification.
• Recognize patterns or trends and inform manager, as well as, offer suggestions for improvement. 

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
• Hiring Range: $25.00 - 27.00 per hour (Non-Exempt) 

Compensation Philosophy and Position Hiring Range:At Planned Parenthood Los Angeles we continuously work towards our values of Justice, Equity, Diversity, and Inclusion including with our compensation philosophy. PPLA recognizes that decisions about pay and benefits have significant impact on staff, s