PATIENT RELATIONS REPRESENTATIVE

County of Los Angeles; Los Angeles (CA); On-site; USD 52,000 - 72,000; Full time

Job summary

County of Los Angeles seeks a Patient Resources Worker to support LA Health Services' patient access and billing processes. You will resolve complex eligibility issues, assist members with coverage options, and coordinate with providers, insurers, and case managers.

Requirements include two years as a Patient Resources Worker in LA County or three years in a similar healthcare setting, plus a valid California driver's license. Education options and government guidelines apply.

Qualifications

• Two (2) years of experience as a Patient Resources Worker in LA County.
• Three (3) years of experience in a healthcare setting at the level of Patient Resources Worker with similar responsibilities.

Responsibilities

• Assesses and resolves complex patient issues related to primary care linkage, eligibility, billing for services, and managed care plan assignment.
• Assists health care plan members in interacting with medical providers, administrative personnel, and third-party payers.
• Serves as liaison between patients, medical personnel, managed care plans, insurers, and care teams.
• Enrolls, dis-enrolls, or transfers members.
• Schedules patient visits and coordinates provider templates to ensure timely access.

Skills

Patient Access

Public interviewing

Communication

Education

Thirty semester units or forty-five quarter units

Job description

FILING DATES:

, at 12:30 p.m. (PT) Filing will be suspended after the first 200 applications are received or by October 2, 2026, at 5:00 p.m. (PT), whichever occurs first.

Position/Program Information

EXAM NUMBER

Y9197F

TYPE OF RECRUITMENT

We welcome applications from anyone!

FILING DATES:

Filing will start effective September 28, 2026, at 12:30 p.m. (PT). Filing will be suspended after the first 200 applications are received or by October 2, 2026, at 5:00 p.m. (PT), whichever occurs first.

Applications received after the first 200 or October 2, 2026, at 5:00 p.m. (PT) will not be considered.

Why work for us?

LA Health Services is LA County’s integrated healthcare system and the second-largest public health system in the nation. Our system includes four public hospitals, more than 20 community health centers, Emergency Medical Services (EMS), Correctional Health Services, and community-based programs that connect people to care where they are.

We serve as the safety net for more than 10 million residents, providing care regardless of ability to pay, insurance coverage, or immigration status. As one connected system, we deliver extraordinary care—from prevention and primary care to emergency, specialty, trauma, and recovery services across Los Angeles County.

With more than 2.9 million visits annually and a workforce of over 23,000 dedicated staff, LA Health Services is proud to deliver high-quality, compassionate, and accessible care to everyone, no matter how they come through our doors.

Explore our one system of hospitals and community health centers: Our Locations – Health Services Los Angeles County.

MISSION:

To advance the health of our patients and our communities by providing extraordinary care.

Check Out Our Outstanding Benefits!

We offer one of the strongest public-sector benefits packages in the country. Join us and discover a rich selection of health care options, robust retirement plans and the flexibility to work, relax and rejuvenate as you reach your fullest personal and professional potential. to see comprehensive information regarding County employee benefits.

What Does a Patient Relations Representative Do:

Performs complex and specialized patient access and patient relations functions and leads lower-level patient resources workers.

Essential Job Functions

Assesses and resolves complex patient issues related to primary care linkage, eligibility, billing for services, and managed care plan assignment. Research errors and patient issues and takes proper action to satisfy those needs by responding to member questions.

Assists health care plan members in their interaction with medical care providers, administrative personnel, and third-party payers.

Serves as liaison between patients, medical personnel, managed care plans, independent practice associations, insurance companies, case managers, utilization review personnel, and Medi-Cal eligibility workers.

Listens, identifies, and recommends health options and services to help meet patients’ needs. Obtains demographic, financial and insurance information. Provides forms to patients and completes paperwork for requested services.

Research grievances with hospital administration, physicians, nurses, and other patient support staff; refers inquiries to appropriate department or clinic for response.

Enrolls, dis-enrolls, or transfers members.

Schedules patient visits by determining the appropriate providers and programs for patients. Ensures timely access to services by actively monitoring and coordinating multiple provider schedules and maintaining appointment templates for clinic providers.

Assigns, coordinates, and reviews the work of lower-lever personnel in the unit, ensuring proper work methods are followed. Provides technical assistance and training.

Answers and documents incoming calls from patients or providers or greet walk-in members who have concerns surrounding medical care issues.

Accesses patient information from a variety of medical plan systems and files for reference purposes and uses computer systems to track and document all complaints and outcomes.

Re-verifies eligibility in the month of the appointment to financially clear patients for appointments, conducts patient outreach by phone and/or mail, explains coverage options to patients, refers the patient to member services as needed, and cancels appointments.

Checks-in patient for appointment to explain payment options and obtain signatures and collects and keep records of insurance and patient identification.

Manage/build provider and clinic templates –Design Change Worksheets (specialized work) working alongside clinicians and Cerner to complete the request as assigned.

Applies various rules and regulations of Medicare, Medicaid, Managed Care, and commercial payers regarding referrals, authorizations, and certifications.

Performs general office duties, such as answering multiple lines, making appointment reminders, copying, filing, scanning, and faxing.

Initiates and/or processes applications for a variety of reduced no-cost/low-cost programs, such as Ability to Pay, Ryan White/Casewatch, Family Planning Access Care Treatment (Family PACT) program, Uniform Method of Determining Ability to Pay, and Hospital Presumptive Eligibility.

Prepares daily, weekly, and monthly patient service and activity reports for management’s review.

Requirements

Option I: Two (2) years of experience in the service of the County of Los Angeles as a Patient Resources Worker.

Option II: Three (3) years of experience in a healthcare setting at the level of Patient Resources Worker with responsibility for performing patient access related work in Emergency Department or Urgent Care registration or other walk-in registration, including admitting, financial screening and eligibility verification, and scheduling.

Withhold Information: No withhold will be allowed. Required experience must be fully met at the time of filing and clearly indicated on the application.

LICENSE: A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.

PHYSICAL CLASS II – Light: This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.

SPECIAL REQUIREMENT INFORMATION:

• To qualify under Option I, you must have held or hold the title of Patient Resources Worker in the services of the County of Los Angeles for at least two years.
• For Option II, you may still qualify even if your job title isn’t exactly the same as the ones listed. What matters is that your experience is at a similar level — meaning your job involves similar responsibilities, requires comparable skills and knowledge, and takes place within a similar organizational structure. Please provide a clear explanation of your experience to demonstrate that it is at the appropriate level.

Also, for this option, if you are a LA County employee who performed work that differs from the duties described in your class specification and you believe qualifies you for this opportunity, please describe the out-of-class duties in detail in the Work Experience and Supplemental Question sections of your application. We also encourage you to submit any supporting documentation such as out of class/additional responsibility bonuses, verification of experience documents, and performance evaluations to assist with the review of your application.

• A Patient Resources Worker identifies patients’ financial resources to pay for medical and/or mental health care and services; assists patients in making assignments for medical benefits; and completes standardized billing forms based upon data acquired.
• Patient Access experience includes but is not limited to experience in Patient Access Coverage Verification & Financial Screening, Emergency Department or Urgent Care Registration and Coverage Verification, Patient Relations (including Empanelment/Primary Care Linkage), and Call Center (for patient scheduling of primary care, specialty care, and diagnostic appointments).

Desirable Qualifications:

• Additional experience beyond the qualifying option.
• Experience interviewing the public to initiate or complete applications for financial assistance, charity care, or insurance for medical or mental health services.
• Completion of thirty (30) semester units or forty-five (45) quarter units in any subject area earned in an accredited college or university.

To receive credit for your education, include a legible copy of all relevant official documents, including your transcript from an accredited institution or email it to [e-mail] within (7) days of filing your application. The document should show the number of units and the type of unit system used (e.g., semester, quarter) and be in English. If not in English, then translation is required. International degrees must be evaluated for equivalency to US standards and indicate the number of units and unit system. Documents marked as unofficial will not be accepted. For more information on our standards for educational documents, please visit: https://file.lacounty.gov/SDSInter/dhr/070812_PPG123.pdf

We do not accept password-protected documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst.

Additional Information

EXAMINATION CONTENT:

This examination will consist of an evaluation of experience, desirable qualifications and supplemental questionnaire and assign a score based on a standardized scoring system. This assessment is worth 100% of your total score.

Candidates need to achieve a passing score of 70% or higher on the examination in order to be placed on the eligible list.

ELIGIBILITY AND VACANCY INFORMATION:

Applicants who passed the assessment are placed on a list in the order of their score group for a period of twelve (12) months. Applications will be processed as they are received and added to the list accordingly. We will use this list to fill vacancies in LA Health Services as they occur.

No person may compete in this examination more than once every twelve (12) months.

SPECIAL INFORMATION:

Appointees may be required to work any shift, including evenings, nights, weekends and holidays.

Anti‑Racism, Diversity, and Inclusion (ARDI):

Los Angeles County recognizes and affirms that all people are equal and are entitled to all rights afforded by the Constitution of the US. We are committed to promoting Anti‑racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices.

ADA COORDINATOR PHONE: [phone]

CALIFORNIA RELAY SERVICES PHONE: [phone]

DEPARTMENT CONTACT:

Yolanda Ramos, Exam Analyst

Telephone Number: [phone]

Email Address: [e-mail]

COUNTY OF LOS ANGELES

Employment Information

Any language contained in the job posting supersedes any language contained below.

This document is intended to provide general information about the recruitment process of the County of Los Angeles. Applicants with questions about a specific job posting should contact the exam analyst listed on the posting.

Equal Employment Opportunity/Non‑Discrimination Statement:

The County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non‑discrimination in the County workforce, regardless of age (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic information; military and veteran status; national origin; race; sex; gender; sexual orientation; or any other characteristic protected by State or federal law. For more information, please visit: https://employee.hr.lacounty.gov/eeo-programs/

Testing Accommodations For Applicants:

The County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. For more information on accommodations, please visit: https://hr.lacounty.gov/accessibility/.

Fair Chance:

The County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about conviction history unless you receive a conditional offer of employment. The County will make an individualized assessment of whether your conviction history has a direct and adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, which may include, but is not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. Qualified applicants with arrest or conviction records will be considered for employment in accordance with County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).

Employment Eligibility:

Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States.

Career PathFinder:

Resources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application at http://career-pathfinder.hr.lacounty.gov.

Veteran’s Credit:

Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.

Revised September 2025

For detailed information, please click here