Patient Services Coordinator - Enhanced Care Management - CHC Perris

County of Riverside • Perris, CA

20h • Onsite

About The Position

The County of Riverside's Riverside University Health System (RUHS) - Community Health Centers is seeking a detail-oriented and experienced Patient Services Coordinator to join their Enhanced Care Management Team located in Perris, Ca. Under minimal supervision, performs a variety of administrative and clerical duties in support of the Riverside University Health System (RUHS) CHC Perris - Enhanced Care Managed Program, secures authorization for services, completes patient assessments for eligibility criteria and performs other related duties as required. The Patient Services Coordinator will be primarily responsible for coordinating referrals generated with contracted Managed Care Plans, both public and private. In addition, this class coordinates with physicians and mid-level providers regarding patient care or IPA's for all patients scheduled for appointments at RUHS, and obtains all authorizations necessary for patient care. The most competitive candidates will have experience coordinating patient care, verifying insurance eligibility, and obtaining authorizations. Strong communication and customer service skills are essential, along with the ability to work effectively as part of a collaborative team. Candidates with a clinical background and bilingual in Spanish is preferred. Requires a valid California driver’s license for participation in mandated trainings and off-site meetings.

Requirements

• 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.
• 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.
• 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.
• Computer literate; ability to type 40 wpm.
• Possession of a valid California Driver's License is required.

Nice To Haves

• 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.
• Candidates with a clinical background and bilingual in Spanish is preferred.

Responsibilities

• Assist physicians and other healthcare providers by providing care coordination to ensure patients receive optimal care; interact with Primary Care Providers, Specialty Providers, and other healthcare staff to coordinate care for patients.
• Liaison between healthcare staff and patients regarding maintenance of care and treatment; work closely with Providers to ensure continuity of care and treatment; facilitate communication among patients, physicians, nurses, and other healthcare staff regarding their care, including making appointments, treatment authorizations and resource needs.
• May assist with patient referrals to appropriate community resources; may provide patient education.
• Daily management of referrals which includes, input of data into manage care system, verify member eligibility, provider participation, and tracking of pending referrals.
• Authorize Treatment Authorization Requests (TAR) for the County of Riverside Medically Indigent Services Program (MISP); coordinate Durable Medical Equipment (DME) for all Managed Care Health Plans, public and private, coordinating quotes and equipment availability.
• Assist with transfer of patients to and from RUHS Medical Center and Care Clinics and other outlying hospitals for specialized care; verify patient eligibility with associated health plans.
• Coordinate with contracted IPA's and return copies of all appropriate clinic, surgery, and emergency room progress notes; process and authorize all requests for pharmacy that are not covered in the Drug Formulary.
• Request and review all emergency room notes for managed care patients that are seen through the Emergency Department; ensure return of all notes (i.e., outpatient, surgical, and emergency) to appropriate PCP or IPA.
• Coordinate patient transfers to other facilities for higher-level of care; coordinate with Medical Social Workers to facilitate care for patients; assist patients in qualifying for Medi-Cal or other programs.
• Process Third Party claims by determining and supplying information to and from attorney respective of patient's eligibility at the time of an accident.

Benefits

• The County of Riverside provides a comprehensive benefits package to its employees. Specific details regarding benefits are typically provided during the offer stage of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED