Admissions & Collections Clerk - CHC Scheduling - County of Riverside
Moreno Valley, CA 92551
About the Job
The County of Riverside's University Health System-Community Health Center is seeking multiple regular Admissions & Collection Clerks to join their CHC Scheduling team. The incumbent will be responsible for answering incoming calls, interviewing callers to determine needs, transferring calls to the appropriate department when needed, scheduling an appointment(s) in a primary care or specialty care clinic, gathering all pre-registration information, verifying insurance eligibility, and/or verify there is a valid referral and authorization ; performing 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 establishes payment sources, arranging payment plans consistent with patient ability to pay, and performing other related duties as required . These positions are located in Moreno Valley.
The Admissions and Collections Clerk is the journey level classification in the Admissions and Collections series and reports to an appropriate supervisory or manager level classification. Incumbents are responsible for interviewing patients or other responsible parties to obtain, verify, record, and evaluate information required for patient check-in, admission, pre-registration, scheduling, and/or patient accounts for medical or health services.
Advancement to the next level is obtained by competitive selection through an open recruitment.
The most competitive candidates will have the following professional experience and knowledge:
- Bilingual
- Professional call center experience
- Professional experience in the medical field and/or a medical office
These positions has a 5/40 schedule, 8:00am - 4:30pm. Telecommuting is an option; schedule will be determined by department at later time.
Meet the team! RUHS-CHC Website
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 public healthcare agency. (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 public healthcare agency. (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 public healthcare agency. (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.
SUPPLEMENTAL INFORMATION
Questions regarding this recruitment? Please contact Raven Padilla via email at rpadilla@rivco.org .
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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 ).
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 support@governmentjobs.com or toll-free 1-855-524-5627.
MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans.
Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here .
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).
- Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
- Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
- Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.
A new member is defined as any of the following:
CalPERS refers to all members that do not fit within the definition of a new member as "classic members".
Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:
This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to retirement@rivco.org or by calling the Benefits Information Line at (951) 955-4981,
Option 2.
If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.
VACATION ACCRUAL (Bi-Weekly Accrual):
0< 3 year = 80 Hours (10 Days)
4< 9 years = 120 Hours (15 Days)
10 or more years = 160 Hours (20 Days)
Maximum Vacation leave accumulation is 480 hours.
SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.
HOLIDAYS: Normally 12 paid holidays per year
BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance)
BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.
DISABILITY: Short-term Disability benefit pays up to a maximum of $461.54 weekly, payable up to a maximum of 52 weeks.
POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable Memorandum of Understanding.
OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.