Patient Access or Patient Business Services Supervisor

County of Riverside; California; On-site; USD 75,000 - 105,000; Full time

Job summary

County of Riverside is seeking a Patient Access/Patient Business Services Supervisor for the University Health System Medical Center’s Mental Health Admitting department. You will supervise night-shift ER registration staff, monitor queues, and ensure accurate patient registrations while coordinating with other departments.

The role emphasizes EMTALA knowledge, Epic/ADT/Cadence familiarity, and staff coaching. Schedule is 9/80, Mon-Fri 7:00 p.m. – 4:30 a.m., with possible weekend work.

Qualifications

• One year of supervisory experience over patient access or revenue cycle functions in a hospital or health care setting.
• Knowledge of EMTALA requirements and experience with Epic/ADT/Cadence workflows preferred.
• Experience overseeing staff cash handling and collections; monitoring registration performance; troubleshooting ER registration issues.

Responsibilities

• Supervise day-to-day operations of ER registration staff, ensuring timely and accurate patient registrations.
• Oversee staffing, time/attendance, and provide coaching and guidance to staff; monitor KPIs and WQs.
• Conduct daily shift huddles to communicate priorities and workflow updates; coordinate with RUHS departments and external intermediaries.
• Develop and implement policies to optimize patient access and revenue cycle goals; prepare reports.

Skills

Supervisory experience

EMTALA knowledge

Epic workflows (ADT, Cadence)

Cash handling and collections

Registration issues troubleshooting

Education

Bachelor's degree in business/healthcare administration

Tools

Epic ADT

Cadence

Job description

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.

About The Position

The County of Riverside’s University Health System–Medical Center Mental Health Admitting department is seeking a Patient Access or Patient Business Services Supervisor to provide direct supervision, and operational oversight of night-shift Emergency Room (ER) registration staff. The incumbent will oversee daily ER registration operations, ensure adequate staffing, monitor employee time and attendance, address performance concerns, and provide ongoing coaching and guidance to staff. Responsibilities also include ensuring timely and accurate patient registrations, monitoring Epic work queues (WQs) and key performance indicators (KPIs), troubleshooting registration issues, and maintaining effective communication with staff and partnering departments. The selected candidate will also conduct daily shift huddles to communicate operational priorities, workflow updates, and expectations. Additional related duties may be assigned as required.

Bilingual In Spanish Is Preferred But Not Required.

The most competitive candidates will possess knowledge of EMTALA requirements and experience with Epic, ADT and/or Cadence workflows. Experience overseeing staff cash handling and collections, monitoring registration performance, and troubleshooting and resolving Emergency Room registration issues is highly desirable.

Work Schedule:

9/80, Monday-Friday 7:00 p.m. - 4:30 a.m. Occasional weekend work may be required based on operational needs.

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

Examples Of Essential Duties

• Supervise the activities and day-to-day operations of one or more patient access or patient business services/revenue cycle functions: admitting, insurance billing, charge description master, clinic registration and scheduling, cashiering, revenue cycle/collection, provider relations, patient eligibility, and financial counseling at RUHS; review and evaluate policies and procedures in terms of RUHS goals.
• Assist in developing, updating, and implementing policies and procedures to ensure the most efficient methods of achieving patient access or revenue/patient business services goals and objectives, including admitting patients, billing fiscal intermediaries, and maximizing collections of delinquent accounts.
• Evaluate work performance and progress of subordinate employees; develop and implement comprehensive training programs for division personnel; perform or review patient financial evaluations and recommend payment and free care arrangements as appropriate.
• Provide technical guidance to staff on the most difficult and complex work of units; coordinate the work of units supervised with other RUHS departments, County departments, and external fiscal intermediaries to ensure the accurate flow of information and to solve mutual problems.
• May participate in contract negotiations with fiscal intermediaries; analyze and prepare a variety of detailed financial and statistical reports.

Minimum Qualifications

Recruiting Guidelines

Education:

Graduation from an accredited college or university with a Bachelor's degree, preferably with major coursework in business, public, healthcare, or hospital administration or a closely related field. (Additional journey level experience related to patient access or revenue cycle or patient business services function in a hospital or health care agency may substitute for the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience).

Experience:

One year of supervisory experience over a patient access or revenue cycle or patient business services function, including billing, collections, admissions, or financial counseling activities in a hospital or health care agency.

Knowledge of:

The principles and practices involved in insurance billing, admitting and registration, provider relations, revenue cycle, and credit and collection activities; laws, rules, regulations, and policies affecting patient access and revenue cycle functions; the principles and techniques of supervision, staff utilization, and training.

Ability to:

Organize, coordinate, and supervise the work of subordinate staff; develop instructional materials; analyze situations and recommend appropriate actions; establish and maintain effective working relationships with medical staff, fiscal intermediary representatives, and others; prepare clear and concise oral and written reports.

Supplemental Information

BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.

APPLICATION INFORMATION

Veteran's Preference

The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouse's death certificate, a letter of spouse's disability and/or letter of service-related death (if available) from the U.S. Veteran's Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here: https://rivcocob.org/board-policies

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Schedule, Overtime, Standby/On-Call, and Travel Obligations

The County of Riverside offers a variety of alternative work schedules, dependent upon department operations and needs. Certain assignments may involve overtime, standby/on-call shifts, and/or travel; however, scheduling, shift assignments, overtime work, standby/on-call duty, and travel obligations are subject to management approval, operational needs, and/or may be modified or discontinued at any time. Applicants should contact the assigned recruiter for additional information regarding the schedule, overtime and standby/on-call expectations, and travel obligations.

Proof of Education

If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).

Work Authorization Requirement

Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer

The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period

As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

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