Temporary Patient Services Coordinator

County of Riverside; Riverside (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

The County of Riverside's Human Resources Temporary Assignment Program (TAP) seeks a Temporary Patient Services Coordinator to support Riverside University Health System (RUHS) in Riverside, CA. Under minimal supervision, you will perform administrative and clerical duties to coordinate patient care and referrals within RUHS ambulatory clinics.

Preferred bilingual (Spanish) candidates will liaison with physicians, clinics, and Managed Care Plans to obtain authorizations, schedule appointments,

Qualifications

• High school diploma or GED.
• Bilingual (Spanish) preferred.
• Three years of clerical experience, ideally in a managed care, healthcare, or behavioral health setting.

Responsibilities

• Assist physicians and healthcare providers by coordinating patient care and referrals.
• Liaison between staff and patients to ensure continuity of care and timely appointments.
• Input data into managed care systems and verify member eligibility.
• Coordinate with contracted IPAs and arrange authorizations and notes.

Skills

Bilingual Spanish

Typing 40 wpm

Microsoft Excel

Computer literacy

Education

High school diploma or GED

Tools

Microsoft Excel

Telephone systems

Job description

Temporary Patient Services Coordinator

The County of Riverside’s Human Resources Temporary Assignment Program (TAP) is seeking a Temporary Patient Services Coordinator, preferably bilingual to support Riverside University Health System (RUHS) in Riverside, CA. Under minimal supervision, performs a variety of administrative and clerical duties in support of the Riverside University Health System (RUHS) Managed Care or Care Management program; and performs other related duties as required.

Depending on area of assignment, the Patient Services Coordinator reports to either the Nurse Coordinator, Director of Nursing Services, or an appropriate Revenue Cycle Manager. The Patient Services Coordinator class is primarily responsible for coordinating patient care at the RUHS ambulatory clinics or for coordinating referrals generated with contracted Managed Care Plans, both public and private. In addition, this class coordinates with physicians and mid-level providers regarding patient care or IPA's for all patients scheduled for appointments at RUHS, and obtains all authorizations necessary for patient care.

Meet the Team!

Riverside University Health System-Medical Center consistently receives national recognition for its progressive and innovative care, as well as being known as one of the top employers in the region. The 439-bed Medical Center is a designated Stroke Center, Level II Trauma Center, and the only Pediatric ICU in the region. For more information on RUHS-Medical Center, please visit: www.ruhealth.org.

About TAP

The Temporary Assignment Program (TAP) recruits and hires temporary employees for all County departments. TAP assignments are a great way to learn about working for the County while working on a temporary, at-will basis.

Responsibilities

• Assist physicians and other healthcare providers by providing care coordination to ensure patients receive optimal care; interact with Primary Care Providers, Specialty Providers, and other healthcare staff to coordinate care for patients.
• Liaison between healthcare staff and patients regarding maintenance of care and treatment; work closely with Providers to ensure continuity of care and treatment; facilitate communication among patients, physicians, nurses, and other healthcare staff regarding their care, including making appointments, treatment authorizations and resource needs.
• May assist with patient referrals to appropriate community resources; may provide patient education.
• Daily management of referrals which includes, input of data into manage care system, verify member eligibility, provider participation, and tracking of pending referrals.
• Authorize Treatment Authorization Requests (TAR) for the County of Riverside Medically Indigent Services Program (MISP); coordinate Durable Medical Equipment (DME) for all Managed Care Health Plans, public and private, coordinating quotes and equipment availability.
• Assist with transfer of patients to and from RUHS Medical Center and Care Clinics and other outlying hospitals for specialized care; verify patient eligibility with associated health plans.
• Coordinate with contracted IPA's and return copies of all appropriate clinic, surgery, and emergency room progress notes; process and authorize all requests for pharmacy that are not covered in the Drug Formulary.
• Request and review all emergency room notes for managed care patients that are seen through the Emergency Department; ensure return of all notes (i.e., outpatient, surgical, and emergency) to appropriate PCP or IPA.
• Coordinate patient transfers to other facilities for higher-level of care; coordinate with Medical Social Workers to facilitate care for patients; assist patients in qualifying for Medi-Cal or other programs.
• Process Third Party claims by determining and supplying information to and from attorney respective of patient's eligibility at the time of an accident.

Education

Graduation from high school or possession of a Certificate of Proficiency issued by the California State Board of Education, or attainment of a satisfactory score on a G.E.D. test.

Experience

Three years of increasingly responsible, broad and varied clerical experience, at least one year of which included working in a managed care, healthcare, or behavioral health setting. For the RUHS care management program, experience as a Licensed Vocational Nurse or experience equivalent to the County of Riverside Behavioral Health Specialist I class is preferred.

Knowledge of

Rules and regulations pertaining to the confidentiality of medical information from federal, state and county agencies; medical terminology and basic laws of healthcare facilities and hospitals; federal, state and county regulations related to healthcare compliance.

Ability to

Interpret medical information, diagnosis and apply medical guidelines; communicate effectively orally and in writing; maintain effective working relationships with a wide variety of individuals; work independently, as well as in a team environment; operate a variety of telephone technology systems; understand the capabilities and applications of information processing equipment, considering the requirements of the program; utilize motivational interviewing skills; work efficiently in a fast paced environment; provide excellent customer service.

Other Requirements

• Bilingual (Spanish)
• Skills: Computer literate; ability to type 40 wpm. Comfortable with Microsoft Excel.
• Desired experience/education above the minimum requirements: At least 1 year experience in a healthcare setting working with referrals and authorizations.

Recruitment Statement

This recruitment is open to all applicants.

Contact

For questions regarding this requirement, contact Ashley Thomas at 951-955-0785 or [e-mail]. For General inquiries, please allow up to two business days to receive a response.

Based on the number of applications received this posting may close early with or without notice.