Admissions & Collections Clerk - CHC-Family Care

For questions regarding this position, please contact the Recruiter listed in the supplemental information.

About the role

The County of Riverside - Riverside University Health System (RUHS) - Community Health Center is seeking an Admissions & Collections Clerk to join their team in Moreno Valley. Under general supervision, incumbents will perform 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.

Responsibilities

• Enroll patients in the Family PACT program, Hospital Presumptive Eligibility, and Sliding Fee Discount Programs.
• Ensure referrals are added to patient visits and complete registration Claim Edit and Charge Review workqueues.
• Complete IEHP transfer forms for patients not assigned to RUHS.
• Collect co-pays and Share of Costs.
• Answer patient questions regarding follow-up visits, prescription issues, coverage information, and required paperwork.
• Schedule follow-up visits for discharged patients and communicate with back-office support for walk-up patients requesting same-day appointments.
• Review patient personal data to evaluate 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 the scheduling process or any time prior to receiving services as directed by supervisor or manager.
• Receive and record payments for medical treatment from patients and record payment information on patient payment receipts.
• 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 receipts 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.

Requirements

Minimum qualifications include one of the following options:

• Option I: 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 may substitute for one year of the non-specialized experience.
• Option II: 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 may substitute for one year of the non-specialized experience.
• Option III: 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.

Skills

Knowledge of:

• Modern office procedures, including preparation of reports and correspondence and filing.
• 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.
• Provide professional customer service and knowledge of medical coverages including Medicare, Medi-Cal, Managed Care Plans, and Medicare Advantage plans.

Physical Requirements

• Sitting at a computer for long periods of time.
• Standing and walking intermittently; may need to walk to different departments or stand while assisting patients.
• Reaching and 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.
• Explaining State Funded Programs to applicants; must speak clearly and professionally with patients, sometimes in stressful situations.
• Remaining calm and empathetic when dealing with sick, upset, or confused patients.

Schedule

5/40 schedule - Monday through Friday, 8:30am - 5:00pm.

About 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. Teams are made up of dedicated healthcare professionals passionate about making a difference in preventive care, chronic disease management, Express Care, Mobile Health, or integrated specialty and behavioral health services.

Learn more about our Community Health Centers by visiting www.ruhealth.org.