Admissions & Collections Clerk - CHC-Family Clinic

Admissions & Collections Clerk - CHC-Family Clinic Moreno Valley, CA Job Details $42,738.82 - $63,558.33 a year 19 hours ago Benefits Paid holidays Disability insurance Health insurance Dental insurance Vision insurance Employee discount Life insurance Qualifications Liability determination Some college Computer operation Spanish Financial data reconciliation Insurance prior authorization Medicare Managed care Financial transaction processing Phone communication Filing Secretarial Science Medical scheduling Medical administrative support Quality assurance audits Driver's License Debt collection payment plan Payment posting in medical billing systems Patient interaction Typing Clerical experience Quality audits Referral coordination Medical terminology Hospital experience Entry level Under 1 year Client interaction via phone calls Full Job Description For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.

ABOUT THE POSITION

The County of Riverside - Riverside University Health System (RUHS) - Community Health Centers is seeking a Spanish bilingual Admissions & Collections Clerk to join their CHC-Family Clinic team in Jurupa Valley. Under general supervision, incumbents will be responsible for enrollments in the Family PACT program, Hospital Presumptive Eligibility, and Sliding Fee Discount Programs, ensuring referrals are added to patient visits, completing registration Claim Edit and Charge Review workqueues, completing IEHP transfer forms for patients not assigned to RUHS, answering patient questions regarding follow-up visits, prescription issues, coverage information, and addressing patient paperwork; updating demographics, collecting nominal fees, ensuring we offer all programs for coverage; specializing clerical work in checking-in, admitting, pre-registering, or scheduling patients for hospitalization or clinic visits, evaluating and determining financial liability for services and establishes payment sources, arranging payment plans consistent with patient ability to pay, and performing other related duties as required. Professional customer service experience and knowledge of medical coverages including Medicare, Medi-Cal, Managed Care Plans, and Medicare Advantage plans is preferred.

Work Schedule:

5/40: Monday through Friday, 8:30am - 5:00pm Meet the Team! Riverside University Health System provides a wide range of primary and specialty care services across 13 Community Health Centers (CHCs) throughout Riverside County. As federally qualified health centers, the CHCs operate on a sliding fee scale to ensure that some of the county's most vulnerable populations receive the care they need. Whether it's preventive care, chronic disease management, Express Care, Mobile Health, or integrated specialty and behavioral health services, our teams are made up of dedicated healthcare professionals who are passionate about making a difference. If you're committed to delivering compassionate care and eager to join a team that truly values community, connection, and making a meaningful difference, RUHS is the place for you! Learn more about our Community Health Centers by visiting www.ruhealth.org

EXAMPLES OF ESSENTIAL DUTIES

Review patient personal data to evaluate the patient's eligibility for medical assistance programs using formal medical program guidelines. Review patient insurance forms and cards to ensure completeness and accuracy as required by assistance programs and private insurance carriers for billing and payment. Evaluate possible assistance eligibility and refer patients to Medi-Cal and MISP as appropriate. Contact patient's medical insurance carrier to obtain authorization for treatment and verify eligibility and coverage. Assist patients with scheduling hospital or clinic appointments in person or over the phone. Pre-register scheduled services during scheduling process or any time prior to receiving services as directed by supervisor or manager. Receive and record payments for medical treatment from patients. Record payment information on patient payment receipt and log this information on the appropriate forms. Complete patient medical information or MISP Share of Cost Forms; attach cash payment receipt to ensure reimbursement from medical assistance program. Refer patients with problem accounts to Patient Accounts for review of account status. Receive required information from patients and complete medical forms to ensure accuracy of patient data. Collect and prepare receipt for monies. Register patients for medical services such as emergency treatment and non-emergency walk-in treatment. Serve as a resource person for patient registration in the Riverside University Health System (RUHS) clinics. Assist in conducting outpatient registration audits and participate in RUHS quality assurance initiatives. Reconcile daily charge sheets of patient visits to ensure that charges for healthcare services rendered are captured in a timely manner.

MINIMUM QUALIFICATIONS OPTION I

Experience:

Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. (Completion of 18 semester or 27 quarter units from an accredited college or university in secretarial sciences, office practices, business education, or a closely related field to the assignment may substitute for one year of the non-specialized experience.)

OPTION II

Experience:

Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. (Completion of 360 hours of training from a recognized occupational training program in secretarial sciences, business education or a closely related field to the assignment may substitute for one year of the non-specialized experience.)

OPTION III

Experience:

Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. (Six months of clerical experience in a medical setting may substitute for one year of the non-specialized experience.)

ALL OPTIONS

Knowledge of:

Modern office procedures, including the preparation of reports and correspondence and filing; the operation of standard office equipment and medical terminology.

Ability to:

Perform complete registration cycle, including collection of monies; effectively interview to obtain personal, family and financial information; gather, record and evaluate data in the admission of hospital patients and the handling of patient accounts; maintain accurate records; apply the rules and regulations pertaining to the admission of patients, private and public medical insurance, billing procedures, credit authorizations, and payment agreements; work with very ill, injured and emotionally distressed people. Other requirements

License:

Possession of a valid California Driver's License and auto insurance is required, as there will be times when another clinic needs coverage and the department will re-assign employees to cover in that location for the day. Physical requirements Sitting at a computer for long periods of time Standing, walking intermittently. May need to walk to different departments or stand while assisting patients. Reaching, bending, to access files, supplies, or office equipment. Typing, using a mouse, handling documents, scanning IDs, operating the phone system Reading screens, forms, ID cards, and small print accurately Listening to patients in person or over the phone, sometimes in noisy environments. Explanation of State Funded Programs to applicants. Must speak clearly and professionally with patients, sometimes in stressful situations. Ability to remain calm, empathetic when dealing with sick, upset, or confused patients. Handling file boxes, office supplies, or small equipment Bilingual Testing The Human Resources Department will coordinate a Bilingual (Spanish) Non-Proctored Assessment.

SUPPLEMENTAL INFORMATION

Application Status How to confirm your application was received or check on the status of your application, log-in to www.

GovernmentJobs.com, click on your name in the upper right corner, and click on "Applications & Status". Sign Up for Job Alerts Go to www.

RC-HR.com, click on "Careers", click on "County Job Openings", and click on "Subscribe to Job Alerts" icon.

For questions regarding this recruitment:

Contact Raven Padilla at or 951/955-0780. Please allow 1-2 business days for response to general inquires. ________________________________________________________________________________________

APPLICATION INFORMATION

Veteran's Preference The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. The Veterans Preference Policy, C-3 is available here: https://rivcocob.org/board-policies Reasonable Accommodations The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability Proof of Education If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE). Work Authorization Requirement Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas. Equal Opportunity Employer The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors. Pre-Employment All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required. Probationary Period As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head. General Information Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies. Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered. Please read and follow any special application instructions on this posting. Click the ' Apply ' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com. If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at or toll-free 1-855-524-5627.