Patient Services Coordinator

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

ABOUT THE POSITION

The County of Riverside Riverside University Health System (RUHS) Community Health Center (CHC) Mead Valley Division is seeking a detail-oriented and experienced Patient Services Coordinator with a strong background in referral processing for a remote position.

The Patient Services Coordinator supports the Provider Relations program by managing referral workflows for Riverside University Health Systems 11 community health clinics medical-surgical center outpatient surgery services and patient discharges. This role ensures timely and accurate referral processing while delivering excellent customer service to patients providers and internal partners. 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 addition this class coordinates with physicians and mid-level providers regarding patient care or IPAs for all patients scheduled for appointments at RUHS and obtains all authorizations necessary for patient care.

Schedule : 5/40 Monday-Friday 8am-4:30pm
Location : The main office location will be in Perris CA but the position will be remote.

Meet the Team!

Riverside University Health System provides a wide range of primary and specialty care services across 13 Community Health Centers (CHCs) throughout Riverside County. As federally qualified health centers the CHCs operate on a sliding fee scale to ensure that some of the countys most vulnerable populations receive the care they need.

Whether its preventive care chronic disease management Express Care Mobile Health or integrated specialty and behavioral health services our teams are made up of dedicated healthcare professionals who are passionate about making a difference.

If youre committed to delivering compassionate care and eager to join a team that truly values community connection and making a meaningful difference RUHS is the place for you!

Learn more about our Community Health Centers by visiting .

EXAMPLES OF ESSENTIAL DUTIES

• Process track and manage all incoming referrals for RUHS community health clinics medical-surgical services outpatient surgeries and patient discharges.

• Verify patient insurance eligibility provider participation and required documentation to ensure accurate referral processing.

• Serve as a liaison between patients Primary Care Providers Specialty Providers and other healthcare staff to support continuity of care.

• Facilitate communication among patients physicians nurses and clinic staff regarding referral status appointment coordination treatment authorizations and resource needs.

• Enter and maintain referral data in the managed care system ensuring timely follow-up on pending items.

• Request review and route emergency room outpatient and surgical notes to the appropriate Primary Care Provider or IPA when related to referral workflows.

• Coordinate with contracted IPAs to obtain and return required clinical documentation including progress notes and referral-related updates.

• Assist with patient transfers between RUHS clinics and other facilities when related to referral authorization or eligibility verification (not clinical transport coordination).

• Provide high-quality customer service to patients and healthcare partners addressing questions related to referrals insurance verification and care coordination.

• Support patients by directing them to appropriate community resources when relevant to referral needs.

• Maintain organized accurate records and manage workload independently in a remote environment.

MINIMUM QUALIFICATIONS

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: Computer literate; ability to type 40 wpm.

SUPPLEMENTAL INFORMATION

Application Status: To confirm your application was received or check on the status of your application log-in to click on your name in the upper right corner and click on Applications & Status.

Sign Up for Job Alerts: Go to click on Careers click on County Job Openings and click on Subscribe to Job Alerts icon.

For questions regarding this recruitment:
Please contact Edgar Manzo at View phone number on drjobpro.com or .
Please allow 1-2 business days for a response to general inquiries.

APPLICATION INFORMATION

Veterans 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 spouses) Member-4 Form DD-214 indicating dates of service. For spousal preference and as applicable the following documents: a copy of your marriage certificate spouses death certificate a letter of spouses disability and/or letter of service-related death (if available) from the U.S. Veterans 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: 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: Location and Telework
In-person attendance is the standard work expectation for County of Riverside assignments. Certain assignments may be eligible for a hybrid telework schedule; however telework arrangements are subject to management approval operational needs and/or may be modified or discontinued at any time. Employees who telework are expected to be able to report to their assigned worksite on short notice or as operational needs require. Unless otherwise specified for a particular position employees are expected to reside in California following appointment. Limited exceptions may apply. Applicants should contact the assigned recruiter for additional information regarding work location expectations telework eligibility and residency requirements.

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
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

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.

Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process examinations Veterans preference pre-employment accommodation or other employment questions please refer to our web site .

If you are experiencing technical problems you may contact the applicant support desk Monday through Friday 6 am to 5 pm Pacific Time at or toll-free 1-.

Required Experience:

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