Data Control Clerk - Full Time

UHS•Riverside, CA

3d•Onsite

About The Position

Verifies eligibility and benefits for patient services. Provides data entry and hard copy authorization for referrals. Answers phone calls regarding referral related inquiries. This role is within Riverside Medical Clinic, a facility that has been serving the community since 1935 with a mission to provide comprehensive multi-specialty medical services. The clinic emphasizes quality healthcare and improving lives, aiming to transform the delivery of healthcare.

Requirements

High school diploma or GED required.
One to three months related experience and/or training; or equivalent combination of education and experience preferred.

Responsibilities

Review and submit authorization requests to respective health plan payor portals while maintaining internal deadlines.
Answer phone calls regarding questions related to any referral inquiries.
Monitor messages that are sent to, and received by, provider’s offices within a timely manner.
Verify patient benefits and eligibility prior to requesting authorizing services or supplies.
Update insurance records as necessary.
Communicate system malfunctions and required benefit file updates, as necessary, to ensure system accuracy.
Update authorizations on system to ensure timely turnaround and compliance with health plan requirements.