Senior Admissions & Collections Clerk - Mental Health Admitting

Full Job Description

The County of Riverside - Riverside University Health System (RUHS) - Medical Center is seeking a Senior Admissions & Collections Clerk to join their Mental Health Admitting team located in Moreno Valley.

Under general supervision, the incumbent will be responsible for verifying insurance coverage and eligibility, updating and maintaining accurate patient records, coordinating with healthcare providers, providing excellent customer service to patients and their families, and documenting all interactions accurately for audit purposes; leading staff and performing complex and varied work in the areas of patient admissions, accounts and payment plans, and performing other related duties as required.

The Senior Admissions and Collections Clerk is the lead level classification in the Admissions and Collections series and reports to an appropriate supervisory or manager level position.

Incumbents are working leads who perform the more technical assignments of interpreting and applying policies and procedures pertaining to hospital or clinic patient admissions, and processing complex patient accounts.

The Senior Admissions and Collections Clerk is distinguished from the Admissions and Collections Clerk in that the latter is responsible for evaluating and determining financial liability for services and establishing payment sources and plans consistent with the patient's ability to pay.

Our Emergency Department team is dedicated to providing compassionate, efficient, and patient-centered care in a fast-paced environment. We value teamwork, effective communication, and adaptability to ensure timely medical services and a positive patient experience. We are looking for people who are committed to making a difference.

The most competitive candidates will have the following professional experience and knowledge:
- Bilingual
- Hospital Registration experience
- EPIC
- Ability to type 45-50 wpm

This position has a 6/12/8 schedule (shift hours and days may be discussed during the interview process and determined at a later time). Holidays may be required, if scheduled.

Meet the Team!Founded in 1893, Riverside University Health System Medical Center has grown into a cornerstone of healthcare excellence and medical education in the region.

Our highly skilled healthcare professionals and dedicated support staff are committed to delivering exceptional, state-of-the-art care to the diverse populations of Riverside County.

Located in Moreno Valley, our 439-bed Medical Center is home to a Level I Trauma Center, a Level II Pediatric Trauma Center, and the county’s only Pediatric Intensive Care Unit (PICU).

If you’re passionate about making a meaningful difference and helping others, RUHS Medical Center is the place for you!

For more information about RUHS Medical Center, please visit www.ruhealth.org

Requirements

•Lead and train staff; maintain work schedules, time and attendance logs and reassign staff, as needed; provide technical guidance to staff and prioritize work assignments.

•Register patients for medical services such as emergency treatment care and non-emergency walk-in treatment following registration procedures; evaluate assistance eligibility and refer patients to the appropriate public assistance program if eligible; ensure patient insurance forms and cards comply with medical assistance programs and private insurance carriers to process billings and payments.

•Access data from the department computer system to complete treatment authorization request forms; interpret medical assistance program policies, rules and regulations regarding eligibility and payment schedules.

•Contact patient's medical insurance carrier to obtain authorization for treatment and to verify eligibility and coverage; complete patient's medical insurance or public assistance forms and attach cash payment receipt to ensure reimbursement from medical assistance program; receive payments for medical treatment from patients.

•Resolve patient ability to pay issues and questions; research liens, judgments, court costs, or law enforcement charges against outstanding balances on patient accounts; determine the need to issue refunds; determine which account to credit with unidentified payments.

•Research department systems and files for all outstanding patient account balances in order to post payments received on inactive accounts; review accounts for proper payments or charges; perform final audits and act as signature authority for claims, warrants, vouchers, payroll documents, purchase orders, supporting bills, and other supporting documents; authorize adjustments to accounts.

•Prepare and process fiscal records, statements or transactions which use a variety of accounting details and supporting documents.

Qualifications

OPTION I

Experience: One year of experience comparable to Riverside County’s Admissions and Collections Clerk.

OPTION II

Experience: Three years of clerical experience, one year of which must have included extensive public contact with responsibility for interviewing and decision making.

ALL OPTIONS

Knowledge of: Private and public medical insurance plans and the way they work; principles and practices involved in the establishment of consumer credit accounts; public and private medical insurance plans; techniques of effective patient interviewing; laws, rules, regulations, and policies, affecting patient accounts.

Ability to: Lead and assign work to others; resolve personnel and workflow problems; interpret admissions, credit and collection policies to patients and hospital staff; maintain effective working relationships with other medical staff, fiscal intermediary representatives and others; prepare clear and concise oral and written reports.

Other Requirements

Skill to type at a corrected rate of 45-50 words per minute.

Physical Requirements
Standing for majority of 12hr shift in the Emergency department, pushing/pulling/moving WOW cart throughout the Emergency Department.

Additional Information

Application Status
How to confirm your application was received or check on the status of your application, log-in to www.GovernmentJobs.com, click on your name in the upper right corner, and click on "Applications & Status".

Sign Up for Job Alerts
Go to www.RC-HR.com, click on "Careers", click on "County Job Openings", and click on "Subscribe to Job Alerts" icon.

For questions regarding this recruitment:
Contact Raven Padilla at rpadilla@rivco.org or 951/955-0780. Please allow 1-2 business days for response to general inquires.