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Admissions & Collections Clerk - CHC-Banning

County of Riverside, California, MO, United States


About the Position
The County of Riverside - Riverside University Health System (RUHS) is seeking a Spanish bilingual Admissions & Collections Clerk within the Community Health Center to join their CHC-Banning team in Banning.

Responsibilities
Under general supervision, incumbents will specialize 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, arranging payment plans consistent with patient ability to pay, and performing other related duties as required.

Examples of Essential Duties

Review patient personal data to evaluate eligibility for medical assistance programs using formal guidelines.

Review patient insurance forms and cards to ensure completeness and accuracy required by assistance programs and private insurers.

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 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 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.

Work Schedule
5/40: Monday through Friday, 8:00 am – 5:00 pm, with transition to a 4/10 schedule after training.

Minimum Qualifications
OPTION I: Two years of clerical experience, including at least three months in admissions, collections, or billing in a hospital, mental health, or other healthcare setting. Completion of 18 semester or 27 quarter units in secretarial sciences, office practices, or business education may substitute for one year of non‑specialized experience.

OPTION II: Same experience as Option I. Completion of 360 hours of training from a recognized occupational training program may substitute for one year of non‑specialized experience.

OPTION III: Same experience as Option I. Six months of clerical experience in a medical setting may substitute for one year of non‑specialized experience.

ALL OPTIONS: Knowledge of modern office procedures, preparation of reports and correspondence, filing, standard office equipment, and medical terminology.

Ability to perform complete registration cycle, include collection of monies; effectively interview to obtain personal, family and financial information; gather, record and evaluate data in the admission of hospital patients; maintain accurate records; apply rules and regulations pertaining to patient admissions, insurance, billing procedures, credit authorizations, and payment agreements; work with very ill, injured, and emotionally distressed people.

Other Requirements
Possession of a valid California Driver’s License and auto insurance; occasional travel may be required.

Bilingual Testing
Human Resources will coordinate a Spanish Non‑Proctored Assessment.

Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, or other non‑job‑related factors.

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