Patient Services Coordinator

The County of Riverside - Riverside University Health System (RUHS) - CHC Jurupa Valley Division is seeking a detail-oriented and experienced Patient Services Coordinator with a strong background in medical insurance and prior authorization processes.

The ideal candidate will have hands-on experience verifying patient benefits, obtaining prior authorizations for medical procedures or medications, and working directly with insurance providers to ensure timely and accurate approvals.

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, 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.

Main duties include but are not limited to the following:


* Case management duties


* Submitting and obtaining authorization services which includes clinic visits, specialty visits, outpatient surgeries and eConsults


* Liaison between healthcare staff and patients regarding maintenance of care and treatment


* Daily intake and outbound calls to input data into EMR and verify member eligibility


* Customer service and tracking of pending referrals


* Ensuring correct CPT and ICD-10 codes are valid


* Submits/Obtains authorization from the payer


* Running eligibility


* Manages ED and Inpatient discharges


* Procures authorization


* Incoming/Outbounds calls

The most competitive candidates will have the following experience:


* Care coordination with patients


* Communication skills/ team player


* Authorization, insurance and eligibility experience


* Strong customer service skills


* Clinical background


* Bilingual

Work Schedule: Will be discussed during the interview.

(Tentative: 9/80, NON-Payday Friday off)
Work Location: : 8876 Mission Blvd.

Jurupa Valley CA 92509

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 county's most vulnerable populations receive the care they need.

Whether it's 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 you're committed to delivering compa...