Admissions & Collections Clerk - Clinical Scheduling - County of Riverside
Moreno Valley, CA 92551
About the Job
The County of Riverside's University Health System-Medical Center is seeking a regular Admissions & Collection Clerk to join their team. The incumbent will be responsible for answering incoming calls, interviewing callers to determine needs, transferring calls to the appropriate department when needed, interviewing the patient when they call and determining their needs, scheduling an appointment(s) in a primary care or specialty care clinic, gathering all pre-registration information, verifying insurance eligibility and/or verifying if there is a valid referral and authorization; performing specialized clerical work which includes: checking in and registering patients, verifying insurances, scheduling and confirming appointments, collecting payments and cash reconciliation, answering phones and patient questions; a nd performs other related duties as required. This position is located in Moreno Valley.
The most competitive candidates will have the following professional experience and knowledge:
- Bilingual
- Professional experience in the medical field and/or in a medical office
- Professional knowledge of Epic
These positions has a 5/40 schedule, from 8:00am - 4:30pm.
Meet the team! RUHS-MC 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.)
SUPPLEMENTAL INFORMATION
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). If you are a qualified individual and need a reasonable accommodation to take this exam, contact the recruiter before taking the exam. For additional information and the accommodation form, visit the Disability Access Office web page at: http://dao.rc-hr.com
Veteran's Preference:The County has a Veteran's Preference Policy. 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. See the policy here .
Pre-Employment All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment).
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.
What's Next? Open to All Applicants
This recruitment is open to all applicants. Applicants who are current County of Riverside employees and/or current employees of The Riverside University Health System may be considered before other applicants depending on the volume of applications received.
Application Period BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.
Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. All applicants must submit a complete application by the closing date of this recruitment. No late applications will be permitted.
Include relevant work experience details on resume and/or application.
Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.
Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. 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 ).
Questions regarding this recruitment? Please contact Raven Padilla via email at rpadilla@rivco.org .
GENERAL APPLICATION INFORMATION:
Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For 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 . A pre-employment physical examination and background check may be required.
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. As of July 1, 2020, the employee contribution is 7.25% and subject to change annually.
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.