Job Description
- The County of Riverside's University Health System-Community Health Center seeks multiple regular Admissions & Collection Clerks to join their CHC-Scheduling and Clinical Scheduling teams. Under general supervision, incumbents will perform patient outreach for quality metrics, billing and referral work queues; specialized clerical work in checking-in, admitting, pre-registering, or scheduling patients for hospitalization or clinic visits, evaluating and determining financial liability for services and establishing payment sources, arranging payment plans consistent with patient ability to pay; performing other related duties as required. These positions are located in Moreno Valley.The most competitive candidates will have the following professional experience and knowledge:
- Bilingual
- Epic
- Medical field/office experience
- Call center experience
This position has a 5/40 schedule from 8:00am - 4:30pm. This position will allow telecommuting (but employees will have to report to office for training/onboarding and during equipment issues).
Meet the team! RUHS-CHC Website
- 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.
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 may be required.
Skill to type at a corrected rate of 40 words per minute.
Questions regarding this recruitment? Please contact Raven Padilla via email at [email protected].
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