Admissions & Collections Clerk - CHC-Pediatrics

The County of Riverside - Riverside University Health System (RUHS) - Community Health Centers is seeking an Admissions & Collections Clerk within the Community Health Center department to join their CHC-Pediatrics team in Moreno Valley.

Under general supervision, incumbents will be responsible for enrolling patients in the Family PACT program, Hospital Presumptive Eligibility, and Sliding Fee Discount Programs, ensuring referrals are accurately added to visits, completing registration Claim Edit and Charge Review Work queues, processing IEHP transfer forms for patients not assigned to RUHS, assisting patients with questions related to follow-up visits, prescription issues, coverage information, and required paperwork; c hecking in on patients, verifying eligibility, updating patient and insurance information, outreach to all patients to schedule appointments, verifying appointments, collection of nominal fees due at time of service, cashing out, answering phones, making copies, and faxing ; performing other related duties as required.
The following professional experience is preferred:
- Bilingual
- Knowledge of medical coverages including Medicare, Medi-Cal, Managed Care Plans, and Medicare Advantage plans
- Customer service experience/skills
Work Schedule: 5/40, Monday through Friday from 8:30am to 5:00pm

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 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 www.ruhealth.org•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 payme...