PATIENT RESOURCES WORKER / EMERGENCY APPOINTMENT HOMELESSNESS

Emergency Patient Resources Worker

Department of Mental Health is seeking qualified candidates to fill emergency Patient Resources Worker vacancies related to the homelessness crisis.

Under the emergency order, applicants who meet the requirements may be hired for an initial period of up to 90 days, with an opportunity for permanent County employment.

Before the end of your initial work period, you will be assessed on your work performance. This assessment will be weighted 100%. Those who successfully pass the assessment will be considered for permanent appointment to Patient Resources Worker.

Essential Job Functions

Interviews patients or their relatives and/or representatives to obtain identifying information, financial and other eligibility data; determines the patient's potential eligibility to enroll in specific health care programs based upon diagnosis, available medical information, type of medical/clinical services, and residency status; enters and accesses data by utilizing various local and web-based information systems and databases to determine a patient's financial eligibility. Evaluates financial data and resources to determine the patient's ability to reimburse the County for health care services consistent with department policy; completes or assists the patient in the completion of benefits forms for third party resources; contacts private insurance companies to verify coverage and to obtain authorization for services; verifies existing governmental coverage for health care services, and screens for the patient's potential eligibility to receive Medi-Cal or other no-cost/low-cost programs. Communicates with patients, responsible relatives and/or representatives, attorneys, employers, agencies and insurance companies to explain County policies and to obtain, verify, or clarify information required to complete standardized billing forms. Computes plans of payment for patients whose medical share of cost has already been established. Completes required federal, State, and County forms for patients during emergency room visits, upon admission, and during outpatient clinic visits. Refers patients without existing financial resources or with complex financial eligibility issues to a Patient Financial Services Worker or facility staff member. Initiates and/or processes applications for a variety of reduced no-cost / low cost programs, such as ATP and UMDAP. Patient Access: Greets and registers patients in person or over the phone. Obtains demographics, preferred pharmacy, emergency contact and insurance information. Enrolls patient using electronic system. Provides forms to patients and completes paperwork for requested services. Determines when language interpretation is needed. Orients patients to health services by providing direction to appropriate locations for services. Initiates and/or processes applications for a variety of reduced no-cost/low-cost programs, such as ATP and UMDAP. Verifies coverage and empanelment prior to scheduling. Identifies when authorization and/or letter of agreement may be needed. Identifies discrepancies in assignment and empanelment and appropriately refers complex cases to Patient Relations Representatives. 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. 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, refers the patient to member services as needed, and cancels appointments. Checks-in patient for appointment to explain payment options, obtains signatures, collects fees, and keeps records of insurance and patient identification. Performs other related duties, as necessary.

Requirements

Minimum requirements: Training and experience: Option I: Two years of experience interviewing the public to initiate or complete applications for financial assistance, credit, insurance, medical, mental health, hospital services, social security, or workers' compensation. Option II: Three years of clerical experience, two years of which must have involved public contact associated with the financial screening and/or registration of patients or claims billing and collection for hospital or medical services. Option III: Two years of experience involving public contact in the investigation and collection of accounts receivable. Option IV: Completion of 60 semester units earned in an accredited* college or university. Option V: Two years of experience in a health care setting with responsibility for performing patient access related work in the Emergency Department, Urgent Care or other walk-in registration, admitting, financial screening and eligibility verification, and scheduling area. Transcript: In order to receive credit for any college or university course, or any type of college or university degree, such as Bachelor's or higher, you must include a legible copy of the official diploma or official transcripts from the accredited institution which shows the area of specialization with your application at the time of filing or email View email address on click.appcast.io within 7 (seven) calendar days of filing. Official Transcript is defined as a transcript that bears the college seal and states "official and/or copy" issued by the school's Registrar Office. A printout of the transcript from the school's website is NOT considered official and; therefore, will NOT be accepted and may result in your application being incomplete or rejected. Accreditation: Accredited institutions are those listed in the publications of regional, national or international accrediting agencies which are accepted by the Department of Human Resources. Publications such as American Universities and Colleges and International Handbook of Universities are acceptable references. Also acceptable, if appropriate, are degrees that have been evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic credential evaluation agency recognized by The National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators, Inc. (AICE). You MUST meet the above requirement(s) at time of filing in order to be appointed to fill any vacancies related to this recruitment. 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, including occasional light lifting to a 10 pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved.