Patient Services Coordinator

County of Riverside
$23 - $34 Per hour CA Riverside University Health System - Behavioral Health, 9890 County Farm Rd building 1, Riverside, CA 92503, United States Apply before 6/28/2024 11:59
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Overview

ABOUT THE POSITION



The County of Riverside's Department of Riverside University Health System – Behavioral Health seeks a Patient Services Coordinator to join their RUHS BH Integration team. Under minimal supervision, the Patient Services Coordinator will perform a variety of administrative and clerical duties in support of the Riverside University Health System (RUHS) Managed Care or Care Management program; they will also be responsible for completing reminder calls, backfilling providers, following up with no show patients, scheduling/rescheduling, creating provider schedules, blocking providers for time off and trainings, checking insurance, processing referral work queues, communicating with providersand other related duties as required. This position is located in Jurupa.

Bilingual candidates with the following professional experience are highly desired:

- EPIC
- Healthcare insurance billing
- Working with patient experiencing mental health symptoms

The schedule for this position is a 9/80 schedule, with every other Friday off. 

Meet the team! 

EXAMPLES OF ESSENTIAL DUTIES


•Assist physicians and other healthcare providers by providing care coordination to ensure patients receive optimal care; interact with Primary Care Providers, Specialty Providers, and other healthcare staff to coordinate care for patients.
•Liaison between healthcare staff and patients regarding maintenance of care and treatment; work closely with Providers to ensure continuity of care and treatment; facilitate communication among patients, physicians, nurses, and other healthcare staff regarding their care, including making appointments, treatment authorizations and resource needs.
•May assist with patient referrals to appropriate community resources; may provide patient education.
•Daily management of referrals which includes, input of data into manage care system, verify member eligibility, provider participation, and tracking of pending referrals.
•Authorize Treatment Authorization Requests (TAR) for the County of Riverside Medically Indigent Services Program (MISP); coordinate Durable Medical Equipment (DME) for all Managed Care Health Plans, public and private, coordinating quotes and equipment availability.
•Assist with transfer of patients to and from RUHS Medical Center and Care Clinics and other outlying hospitals for specialized care; verify patient eligibility with associated health plans.
•Coordinate with contracted IPA's and return copies of all appropriate clinic, surgery, and emergency room progress notes; process and authorize all requests for pharmacy that are not covered in the Drug Formulary.
•Request and review all emergency room notes for managed care patients that are seen through the Emergency Department; ensure return of all notes (i.e., outpatient, surgical, and emergency) to appropriate PCP or IPA.
•Coordinate patient transfers to other facilities for higher-level of care; coordinate with Medical Social Workers to facilitate care for patients; assist patients in qualifying for Medi-Cal or other programs.
•Process Third Party claims by determining and supplying information to and from attorney respective of patient's eligibility at the time of an accident.

MINIMUM QUALIFICATIONS

Education: Graduation from high school or possession of a Certificate of Proficiency issued by the California State Board of Education, or attainment of a satisfactory score on a G.E.D. test.

Experience: Three years of increasingly responsible, broad and varied clerical experience, at least one year of which included working in a managed care, healthcare, or behavioral health setting. 


Possession of a valid California Driver's License is required.

Other Requirements

Skills: Computer literate; ability to type 40 wpm.


Knowledge of: Rules and regulations pertaining to the confidentiality of medical information from federal, state and county agencies; medical terminology and basic laws of healthcare facilities and hospitals; federal, state and county regulations related to healthcare compliance.

Ability to: Interpret medical information, diagnosis and apply medical guidelines; communicate effectively orally and in writing; maintain effective working relationships with a wide variety of individuals; work independently, as well as in a team environment; operate a variety of telephone technology systems; understand the capabilities and applications of information processing equipment, considering the requirements of the program; utilize motivational interviewing skills; work efficiently in a fast paced environment; provide excellent customer service.

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, . A pre-employment physical examination and background check may be required.

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