Admissions & Collections Clerk - CHC-Lake Elsinore

County of Riverside; Lake Elsinore (CA); On-site; USD 42,000 - 56,000; Full time

Job summary

The County of Riverside - Riverside University Health System-Medical Center (RUHS-CHC) Lake Elsinore team seeks an Admissions & Collections Clerk. You will schedule and register patients, verify insurance, assist with forms, collect payments, and prepare deposit forms to support accurate billing.

This role supports pre-registration, payment processing, and outreach while maintaining patient data integrity.

Qualifications

• Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital or 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.

Responsibilities

• Review patient personal data to evaluate eligibility for medical assistance programs.
• Review patient insurance forms and cards for completeness and accuracy for billing and payment.
• Evaluate eligibility and refer patients to Medi-Cal and MISP as appropriate.
• Contact insurance carrier to obtain authorization and verify coverage.
• Assist patients with scheduling hospital or clinic appointments.
• Pre-register scheduled services during scheduling or prior to receiving services.
• Receive and record payments for medical treatment from patients.
• Record payment information on receipts and log totals.
• Complete patient medical information or MISP Share of Cost Forms; attach receipts for reimbursement.
• Refer problem accounts to Patient Accounts for review.
• Receive required information from patients and complete medical forms for data accuracy.
• Collect and prepare receipts for monies.

Skills

Clerical experience

Admissions

Billing

Medical terminology

Education

College coursework in secretarial sciences or related field

Job description

The County of Riverside - Riverside University Health System-Medical Center (RUHS-CHC) is seeking an Admissions & Collections Clerk to join their CHC-Lake Elsinore team in Lake Elsinore.

Under general supervision, incumbents will be responsible for job duties such as scheduling and registering patients for appointments, verifying insurance coverage, assisting patients with completion of forms, collecting monies due, preparing deposit forms, answering telephones, and patient outreach; performing specialized clerical work in checking-in, admitting; evaluates and determines financial liability for services and establishes payment sources; arranges payment plans consistent with patient ability to pay, and performing other related duties as required.

Lake Elsinore CHC (Community Healthcare Center) has 6 providers: Retinals, Ortho, Behavioral Health, Enhanced Care Management, and Dietician. Primary care is Monday- Friday 7:30am- 5:00pm. We also have Express Care: Monday- Friday 11:00am – 8:00pm and Saturdays 8:00am- 5:00pm.

Work Schedule

Once training is complete, schedule will be 9/80 Pay Week Monday 8:00am – 5:00pm, Tuesday- Fri 7:30am -5:00pm (the schedule can be discussed during interview process).

Meet 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.

Whether it’s preventive care, chronic disease management, Express Care, Mobile Health, or integrated specialty and behavioral health services, our teams are made up of dedicated healthcare professionals who are passionate about making a difference.

If you’re committed to delivering compassionate care and eager to join a team that truly values community, connection, and making a meaningful difference, RUHS is the place for you!

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

• 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.
• 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.

OPTION I

Experience: 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.)

OPTION II

Experience: 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 to the assignment may substitute for one year of the non-specialized experience.)

OPTION III

Experience: 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.)

ALL OPTIONS

Knowledge of: Modern office procedures, including the preparation of reports and correspondence and filing; the 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.

Other Requirements

License: Possession of a valid California Driver's License may be required, as the incumbent may be reassigned for the day to another clinic.