Admissions & Collections Clerk - Admitting

Admissions & Collections Clerk

The County of Riverside - Riverside University Health System-Medical Center (RUHS-MC) is seeking an Admissions & Collections Clerk in Moreno Valley. Under general supervision, incumbents will be responsible for performing specialized clerical work in checking-in, admitting, pre-registering, or scheduling patients for hospitalization or clinic visits, evaluating and determining financial liability for services and establishes payment sources, arranging payment plans consistent with patient ability to pay, and performing other related duties as required. The most competitive candidates will be bilingual and have professional knowledge of commercial and government insurances. Work Schedule: Monday - Friday 10:30a-7:00p, 5/40 schedule; incumbents will be required to work 1 weekend out of the month.

Founded in 1893, Riverside University Health System Medical Center has grown into a cornerstone of healthcare excellence and medical education in the region. Our highly skilled healthcare professionals and dedicated support staff are committed to delivering exceptional, state-of-the-art care to the diverse populations of Riverside County. Located in Moreno Valley, our 439-bed Medical Center is home to a Level I Trauma Center, a Level II Pediatric Trauma Center, and the county's only Pediatric Intensive Care Unit (PICU). If you're passionate about making a meaningful difference and helping others, RUHS Medical Center is the place for you!

Examples Of Essential Duties

Review patient personal data to evaluate the patient's eligibility for medical assistance programs using formal medical program guidelines.

Review patient insurance forms and cards to ensure completeness and accuracy as required by assistance programs and private insurance carriers for billing and payment.

Evaluate possible assistance eligibility and refer patients to Medi-Cal and MISP as appropriate.

Contact patient's medical insurance carrier to obtain authorization for treatment and verify eligibility and coverage.

Assist patients with scheduling hospital or clinic appointments in person or over the phone.

Pre-register scheduled services during scheduling process or any time prior to receiving services as directed by supervisor or manager.

Receive and record payments for medical treatment from patients.

Record payment information on patient payment receipt and log this information on the appropriate forms.

Complete patient medical information or MISP Share of Cost Forms; attach cash payment receipt to ensure reimbursement from medical assistance program.

Refer patients with problem accounts to Patient Accounts for review of account status.

Receive required information from patients and complete medical forms to ensure accuracy of patient data.

Collect and prepare receipt for monies.

Register patients for medical services such as emergency treatment and non-emergency walk-in treatment.

Serve as a resource person for patient registration in the Riverside University Health System (RUHS) clinics.

Assist in conducting outpatient registration audits and participate in RUHS quality assurance initiatives.

Reconcile daily charge sheets of patient visits to ensure that charges for healthcare services rendered are captured in a timely manner.

Minimum Qualifications

Option I

Experience: Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. (Completion of 18 semester or 27 quarter units from an accredited college or university in secretarial sciences, office practices, business education, or a closely related field to the assignment may substitute for one year of the non-specialized experience.)

Option II

Experience: Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. (Completion of 360 hours of training from a recognized occupational training program in secretarial sciences, business education or a closely related field to the assignment may substitute for one year of the non-specialized experience.)

Option III

Experience: Two years of clerical experience, including three months performing admissions, collections or billing functions in a hospital, mental health or other healthcare setting. (Six months of clerical experience in a medical setting may substitute for one year of the non-specialized experience.)

All Options

Knowledge of: Modern office procedures, including the preparation of reports and correspondence and filing; the operation of standard office equipment and medical terminology.

Ability to: Perform complete registration cycle, including collection of monies; effectively interview to obtain personal, family and financial information; gather, record and evaluate data in the admission of hospital patients and the handling of patient accounts; maintain accurate records; apply the rules and regulations pertaining to the admission of patients, private and public medical insurance, billing procedures, credit authorizations, and payment agreements; work with very ill, injured and emotionally distressed people.

Benefits

Benefit Program: UPE MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans. Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here.

Miscellaneous Retirement: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).

• Tier I (Classic Member Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
• Tier II (Classic Member Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
• Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.

A new member is defined as any of the following:

1. A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.
2. A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS.
3. A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.

CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to View email address on click.appcast.io or by calling the Benefits Information Line at View phone number on click.appcast.io, Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at View phone number on click.appcast.io to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.

Deferred Compensation: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

Vacation Accrual (Bi-Weekly Accrual): 0 < 3 year = 80 Hours (10 Days) 4 < 9 years = 120 Hours (15 Days)