The County of Riverside's University Health System-Community Health Center seeks a regular Admissions & Collection Clerk to join their CHC-Family Clinic team. Under general supervision, incumbents will be responsible for r egistering and checking in a high volume of patient appointments, including express care, verifying insurance, both calling and using web portals; 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:
- Knowledge of medical coverages including: Medicare, Medi-Cal, Managed Care Plans, and Medicare Advantage plans
- Clerical experience

This position has a 5/40 schedule: Monday-Friday, 8: 30AM-5: 00PM.

Meet the team! RUHS-CHC Website
In CHC-Family Care, the department is responsible for enrolling patients in programs such as Family PACT, Hospital Presumptive Eligibility, and Sliding Fee Discount Programs. Duties include ensuring referrals are properly added to patient visits and completing registration-related tasks such as Claim Edit and Charge Review Workqueues. The position also handles IEHP transfer forms for patients not assigned to RUHS, collects co-pays and share-of-cost payments, and provides excellent customer service by answering patient questions regarding follow-up visits, prescription issues, coverage details, and necessary paperwork. Additional responsibilities include scheduling follow-up visits for discharged patients and coordinating with back-office staff to accommodate walk-up patients requesting same-day appointments.•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.

Physical abilities:
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, 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 equipmentQuestions regarding this recruitment? Please contact Raven Padilla via email at rpadilla@rivco.org .