PATIENT RESOURCES WORKER

Patient Resources Worker

We are pursuing qualified candidates to fill the Patient Resources Worker position within the Department of Public Health. This position identifies patients' financial resources to pay for medical and/or mental health care and services; and assists patients in making assignments for medical benefits, and completes standardized billing forms based upon data acquired.

What will I do as a Patient Resources Worker?

• 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

REQUIREMENTS TO QUALIFY:

• OPTION I: Two (2) 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 (3) years of clerical experience, two (2) 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 (2) years of experience involving public contact in the investigation and collection of accounts receivable.
• OPTION IV: Completion of sixty (60) semester units or ninety (90) quarter units *.
• OPTION V: Two (2) 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.
• LICENSE: A valid California Class C Driver License or the ability to use 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 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 View email address on click.appcast.io within fifteen (15) calendar 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: (Download PDF reader)
• 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 will not be accepted and may result in your application being incomplete and rejected.
• We do not accept password-protected documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst.
• DESIRABLE QUALIFICATION: Credit will be given to applicants who possess the following desirable qualification:
• Customer service experience working with the public.

Additional Information

This assessment type will evaluate the experience you list on a questionnaire and assign a score based on a standardized scoring system. This part of the assessment is worth 100% of your total score and assesses: Requirements and Desirable Qualification. Applicants must receive a passing score of 70% or higher on the assessment to be added to the Eligible List.

Passing this examination and being added to the Eligible List does not guarantee an offer of employment.

ELIGIBILITY INFORMATION: Applicants who passed the assessment(s) 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 the Department of Public Health as they occur.

AVAILABLE SHIFT: Any shift, including evenings, nights, weekends and holidays.

APPLICATION AND FILING INFORMATION: HOW TO APPLY: We only accept applications filed online. Applications submitted by U.S. mail, fax, or in person are not accepted. Apply online by clicking on the "Apply" green button at the top right of this posting. This website can also be used to get application status updates. Please fill out the application completely. Provide relevant job experience including employer's name and address, job title, beginning and ending dates, number of hours worked per week, and description of work performed. We may verify information included in the application at any point during the examination and hiring process, including after an appointment has been made. Falsification of information could result in refusal of application or rescission of appointment. Copying verbiage from the Requirements or class specification as your work experience will not be sufficient to demonstrate meeting the requirements. Doing so may result in an incomplete application and may lead to disqualification.

COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. Check the website for updated information at

SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number.

DO NOT SHARE USER ID AND PASSWORD: All applicants must file their application online using their OWN user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record.

ANTI-RACISM, DIVERSITY, AND INCLUSION (ARDI): The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. 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,