Planned Parenthood of Metropolitan Washington DC
Washington, Washington DC
Description: Responsible for delivering comprehensive reproductive and sexual health care, including but not limited to the areas of gynecology, sexually transmitted infection, family planning/contraception provision, abortion care, gender affirming hormone therapy and mid-life services. Act as part of the medical services team providing care according to PPMW protocols and operational processes. Provide high quality care delivered in a customer service driven environment. Requirements: Secure a complete health history, including obstetric, gynecologic, contraceptive, medical, surgical, sexual, family health, and psycho-social; and record findings accurately and succinctly. Perform physical examinations with special emphasis on the reproductive system, including breast examination, pelvic examination, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized procedures as may be indicated by medical policy. After observation and approval, provide direct medical care to patients for core services; this may include family planning, surgical abortion, medication abortion and colposcopy service. Perform and interpret ultrasound for gestational dating and IUD localization. Provide all aspects of abortion care allowed by law and within PPMW Medical Standards and Guidelines and protocols. Serve as a telephone resource person for client or medical information calls. Participate in accomplishing customer-focused goals. Provide referrals and assure follow-up. Perform order and interpret diagnostic studies as indicated and permitted by affiliate medical protocols. Consult with VP of Medical Affairs, VP of Patient Services, Clinical Services Director and/or Clinical Services Coordinator as needed to ensure compliance with PPMW standards and guidelines. After observation and approval , and if qualified according to PPMW requirements for mid-level Colposcopist, may provide skilled colposcopy services for patients requiring such treatment for abnormal pap smears. Provide on-going specialized preceptor duties, such as training for residents, nurse practitioner and Registered Nurse students. Assist in emergencies as needed. Participate in after-hours emergency call triage nursing per PPMW protocol. Participate in risk and quality management activities, including, but not limited to recording adverse events, occurrence reporting and maintenance of abortion complication data. Provide relevant health instruction to include family planning, nutrition, sexual counseling, and principles of health promotion and maintenance. Work independently to maintain up-to-date knowledge in the health care field via attending seminars and workshops, and reading relevant material. Support and encourage a culture that: Provides a rich conduit of information and ideas between sites and other PPMW departments. Participates in ongoing feedback with colleagues. Incorporates customer satisfaction into all aspects of the work. Encourages team to take responsibility for evaluating and improving systems. Demonstrate flexibility and teamwork; understand the interaction between this position and others with whom the position works directly and indirectly. Ensure that interactions incorporate PPMW values of integrity, partnership, customer focus, communication and quality. Support effort of the PPMW's diversity program to provide services that are culturally and linguistically competent; takes the initiative to develop own awareness and knowledge of diversity matters. Complete all responsibilities according to established protocols, policies and standard practices in the areas of customer service, quality assurance and regulatory compliance programs such as HIPAA (Health Information Portability & Accountability Act), OSHA (Occupational Safety & Health Act) and CLIA (Clinical Laboratory Improvement Administration) and Title X. Collaborate with the health team and other community agencies and resources (e.g., physicians, local health departments, social service, nutritionists, dentists, and parent education groups), through joint planning and coordination of activities, in providing comprehensive care. Participate in Risk Management and Quality Assurance program, medical committee meetings and other agency and center meetings as required. Other duties as assigned. Essential Functions for those Clinicians who perform specialized procedures/services: Specialized Procedure Requirements: Must meet requirements for Clinicians performing IUC insertion and removal, implant insertion and removal, medication abortion, ultrasounds, and colposcopies as outlined in the PPMW Medical Protocols. Must be granted clinical privileges by the Chief Medical Officer or Designee with a copy kept in the personnel file. Must follow protocols for performing IUC insertion and removal, implant insertion and removal, medication abortion, ultrasounds, and colposcopies as outlined in the PPMW Medical Protocols. Must be available to perform IUC insertion and removal, implant insertion and removal, mediation abortion, and ultrasounds at all PPMW sites, as needed and determined by the clinical leadership team. Qualifications: Current DC, MD, or VA license as an NP or CNM. National certification preferred. Three to five years clinical experience or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired. Current CPR certification required. ACLS recommended. Proficiency with IUC insertion and removal preferred. Proficiency with contraceptive implant insertion and removal preferred Ultrasound skills and Medication AB training must be accomplished within 3 months of hire with ongoing demonstration of competency. Demonstrated ability and willingness to manage = 3.5 patients per hour. Travel to any PPMW health center may be requested. Compensation details: 60-75 Hourly Wage PI24d8c7cd5d46-4002
Description: Responsible for delivering comprehensive reproductive and sexual health care, including but not limited to the areas of gynecology, sexually transmitted infection, family planning/contraception provision, abortion care, gender affirming hormone therapy and mid-life services. Act as part of the medical services team providing care according to PPMW protocols and operational processes. Provide high quality care delivered in a customer service driven environment. Requirements: Secure a complete health history, including obstetric, gynecologic, contraceptive, medical, surgical, sexual, family health, and psycho-social; and record findings accurately and succinctly. Perform physical examinations with special emphasis on the reproductive system, including breast examination, pelvic examination, cancer screening tests, diagnosis of sexually transmitted infections (STIs), and other types of more specialized procedures as may be indicated by medical policy. After observation and approval, provide direct medical care to patients for core services; this may include family planning, surgical abortion, medication abortion and colposcopy service. Perform and interpret ultrasound for gestational dating and IUD localization. Provide all aspects of abortion care allowed by law and within PPMW Medical Standards and Guidelines and protocols. Serve as a telephone resource person for client or medical information calls. Participate in accomplishing customer-focused goals. Provide referrals and assure follow-up. Perform order and interpret diagnostic studies as indicated and permitted by affiliate medical protocols. Consult with VP of Medical Affairs, VP of Patient Services, Clinical Services Director and/or Clinical Services Coordinator as needed to ensure compliance with PPMW standards and guidelines. After observation and approval , and if qualified according to PPMW requirements for mid-level Colposcopist, may provide skilled colposcopy services for patients requiring such treatment for abnormal pap smears. Provide on-going specialized preceptor duties, such as training for residents, nurse practitioner and Registered Nurse students. Assist in emergencies as needed. Participate in after-hours emergency call triage nursing per PPMW protocol. Participate in risk and quality management activities, including, but not limited to recording adverse events, occurrence reporting and maintenance of abortion complication data. Provide relevant health instruction to include family planning, nutrition, sexual counseling, and principles of health promotion and maintenance. Work independently to maintain up-to-date knowledge in the health care field via attending seminars and workshops, and reading relevant material. Support and encourage a culture that: Provides a rich conduit of information and ideas between sites and other PPMW departments. Participates in ongoing feedback with colleagues. Incorporates customer satisfaction into all aspects of the work. Encourages team to take responsibility for evaluating and improving systems. Demonstrate flexibility and teamwork; understand the interaction between this position and others with whom the position works directly and indirectly. Ensure that interactions incorporate PPMW values of integrity, partnership, customer focus, communication and quality. Support effort of the PPMW's diversity program to provide services that are culturally and linguistically competent; takes the initiative to develop own awareness and knowledge of diversity matters. Complete all responsibilities according to established protocols, policies and standard practices in the areas of customer service, quality assurance and regulatory compliance programs such as HIPAA (Health Information Portability & Accountability Act), OSHA (Occupational Safety & Health Act) and CLIA (Clinical Laboratory Improvement Administration) and Title X. Collaborate with the health team and other community agencies and resources (e.g., physicians, local health departments, social service, nutritionists, dentists, and parent education groups), through joint planning and coordination of activities, in providing comprehensive care. Participate in Risk Management and Quality Assurance program, medical committee meetings and other agency and center meetings as required. Other duties as assigned. Essential Functions for those Clinicians who perform specialized procedures/services: Specialized Procedure Requirements: Must meet requirements for Clinicians performing IUC insertion and removal, implant insertion and removal, medication abortion, ultrasounds, and colposcopies as outlined in the PPMW Medical Protocols. Must be granted clinical privileges by the Chief Medical Officer or Designee with a copy kept in the personnel file. Must follow protocols for performing IUC insertion and removal, implant insertion and removal, medication abortion, ultrasounds, and colposcopies as outlined in the PPMW Medical Protocols. Must be available to perform IUC insertion and removal, implant insertion and removal, mediation abortion, and ultrasounds at all PPMW sites, as needed and determined by the clinical leadership team. Qualifications: Current DC, MD, or VA license as an NP or CNM. National certification preferred. Three to five years clinical experience or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired. Current CPR certification required. ACLS recommended. Proficiency with IUC insertion and removal preferred. Proficiency with contraceptive implant insertion and removal preferred Ultrasound skills and Medication AB training must be accomplished within 3 months of hire with ongoing demonstration of competency. Demonstrated ability and willingness to manage = 3.5 patients per hour. Travel to any PPMW health center may be requested. Compensation details: 60-75 Hourly Wage PI24d8c7cd5d46-4002
Planned Parenthood of Metropolitan Washington DC
Washington, Washington DC
Description: Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. Oversee complex billing processes, conduct team training, and ensuring accurate and timely reimbursement for medical services. Oversee and assist in performing all billing and collection functions, including payment posting, A/R follow up, credit review, and grant billing. Provide feedback as appropriate, to improve affiliate performance and increase reimbursement. Active participant in meetings. Complete revenue cycle special projects as assigned. Requirements: Handle high level billing tasks, including complex medical claims, appeals, and disputed charges. Review and verify claim information for accuracy, completeness, and adherence to payers for reimbursement. Utilize comprehensive understanding of claim denials to conduct appropriate claim follow-up on all open A/R to ensure prompt adjudication. Ensure accuracy of billing data and compliance with local, state, and federal regulations, as well as payer -specific regulations. Assist in the development and implementation of policies, procedures, and workflows to improve efficiency. Work closely with coding, front office, clinical teams, and third-party vendors to resolve billing discrepancies and denials. Creation of claim projects with insurance companies and follow through on projects to ensure resolution. Provide guidance, mentorship, and supervision of reimbursement specialists. Perform daily ERA, EOB, and patient payment posting. Reconcile payments posted in Epic to banking deposit logs. Submit invoices for participating grant programs. Submit daily electronic and paper claim files, and correct all claim and charge review edits, warnings and errors; run statement files; and download ERAs/EOBs as needed. Review and monitor clearinghouse claim errors and global payer rejections for possible system edits or payer updates. Prioritize workflow for reimbursement specialists to ensure the revenue cycle team is completing all necessary tasks. Daily review of billing work queues. Credit balance review and processing Insurance benefit verification. Analyze payer denial trends and payer coding requirements to ensure payment of claims. Ensure month-end activities are completed in a timely manner and that month-end reconciliation is accurately completed. Ensure the affiliate's claim KPIs are satisfied. Participate in Revenue Cycle Team meetings/conference calls, and provide the necessary reporting, feedback, and training required to improve processes. Serve as an active agent on the billing line. Attend PPMW and PPFA training as well as other assigned training to improve knowledge base and claim efficiency. Follow up on denied claims with payers. Patient statement processing. Assistance with credentialing related inquiries and updates. Complete special projects as needed. Other responsibilities as assigned. Qualifications: Bachelors degree preferred, high school diploma or equivalent required Three or more years' experience in medical billing and/or Accounts Receivable Epic experience preferred. Experience with patient billing and collections. Access to secure, reliable Internet and utilities. Compensation details: 0 Yearly Salary PI7120b5-
Description: Support PPMW's Revenue Cycle activities by assuming a senior role within the medical billing team. Oversee complex billing processes, conduct team training, and ensuring accurate and timely reimbursement for medical services. Oversee and assist in performing all billing and collection functions, including payment posting, A/R follow up, credit review, and grant billing. Provide feedback as appropriate, to improve affiliate performance and increase reimbursement. Active participant in meetings. Complete revenue cycle special projects as assigned. Requirements: Handle high level billing tasks, including complex medical claims, appeals, and disputed charges. Review and verify claim information for accuracy, completeness, and adherence to payers for reimbursement. Utilize comprehensive understanding of claim denials to conduct appropriate claim follow-up on all open A/R to ensure prompt adjudication. Ensure accuracy of billing data and compliance with local, state, and federal regulations, as well as payer -specific regulations. Assist in the development and implementation of policies, procedures, and workflows to improve efficiency. Work closely with coding, front office, clinical teams, and third-party vendors to resolve billing discrepancies and denials. Creation of claim projects with insurance companies and follow through on projects to ensure resolution. Provide guidance, mentorship, and supervision of reimbursement specialists. Perform daily ERA, EOB, and patient payment posting. Reconcile payments posted in Epic to banking deposit logs. Submit invoices for participating grant programs. Submit daily electronic and paper claim files, and correct all claim and charge review edits, warnings and errors; run statement files; and download ERAs/EOBs as needed. Review and monitor clearinghouse claim errors and global payer rejections for possible system edits or payer updates. Prioritize workflow for reimbursement specialists to ensure the revenue cycle team is completing all necessary tasks. Daily review of billing work queues. Credit balance review and processing Insurance benefit verification. Analyze payer denial trends and payer coding requirements to ensure payment of claims. Ensure month-end activities are completed in a timely manner and that month-end reconciliation is accurately completed. Ensure the affiliate's claim KPIs are satisfied. Participate in Revenue Cycle Team meetings/conference calls, and provide the necessary reporting, feedback, and training required to improve processes. Serve as an active agent on the billing line. Attend PPMW and PPFA training as well as other assigned training to improve knowledge base and claim efficiency. Follow up on denied claims with payers. Patient statement processing. Assistance with credentialing related inquiries and updates. Complete special projects as needed. Other responsibilities as assigned. Qualifications: Bachelors degree preferred, high school diploma or equivalent required Three or more years' experience in medical billing and/or Accounts Receivable Epic experience preferred. Experience with patient billing and collections. Access to secure, reliable Internet and utilities. Compensation details: 0 Yearly Salary PI7120b5-