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County of Riverside · 5 hours ago

Admissions & Collections Clerk - MSC Outpatient Registration

Riverside County, CA

Full-time

Onsite

Entry Level

2+ years exp

The County of Riverside - Riverside University Health System is seeking multiple Admissions & Collections Clerks within their MSC Outpatient Registration in Moreno Valley. The role involves checking in patients, verifying eligibility, updating patient and insurance information, and collecting fees due at the time of service.

GovernmentHealth CarePublic RelationsPublic SafetySocial

No H1B

Responsibilities

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

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

Qualification

Medical billingPatient registrationInsurance verificationClerical experienceBilingualCustomer serviceData entryCommunication skills

Required

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 to the assignment may substitute for one year of the non-specialized experience

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

Six months of clerical experience in a medical setting may substitute for one year of the non-specialized experience

Knowledge of modern office procedures, including the preparation of reports and correspondence and filing

Knowledge of the operation of standard office equipment and medical terminology

Ability to perform complete registration cycle, including collection of monies

Ability to effectively interview to obtain personal, family and financial information

Ability to gather, record and evaluate data in the admission of hospital patients and the handling of patient accounts

Ability to maintain accurate records

Ability to apply the rules and regulations pertaining to the admission of patients, private and public medical insurance, billing procedures, credit authorizations, and payment agreements

Ability to work with very ill, injured and emotionally distressed people

Occasionally lifting/carrying up to 10 pound or pushing/pulling small object

Sits most of the time