Top 6 Revenue cycle specialist Jobs in Redlands, Ca

Patient Services Coordinator
County of Riverside —Riverside, CA
- $51,780.92 - $77,063.21 a year
- Monday to Friday
- Background check
- LVN
- Computer literacy
- Paid holidays
- Disability insurance
Revenue Cycle Analyst
AHMC Healthcare —Riverside, CA
- From $23 an hour
- Full-time
- Hospital
- Clinic experience
- Mid-level
9d
Healthcare Coding Compliance Auditor - RUHS
County of Riverside —Riverside, CA
- $105,597.80 - $145,114.92 a year
- Background check
- Office
- Finance
- Paid holidays
- Disability insurance
Senior Accountant
Tournesol Siteworks —Jurupa Valley, CA
- $80,000 - $95,000 a year
- Full-time
- Finance
- Bachelor's degree
- GAAP
- Profit sharing
- Paid holidays
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Patient Services Coordinator

County of Riverside -
Riverside, CA

Apply Now

Job Details

$51,780.92 - $77,063.21 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Vision insurance
Bereavement leave
Life insurance

Qualifications

Customer communication
Computer literacy
Writing skills
State healthcare regulations
Administrative experience
High school diploma or GED
Motivational interviewing
Health information regulatory compliance
Handling customer service requests
Telephone systems
Typing
Clerical experience
Clinical confidentiality policies
Medical terminology

Full Job Description

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.

ABOUT THE POSITION

The County of Riverside – Riverside University Health System (RUHS) – Medical Center, Provider Relations Division, is seeking a detail-oriented and experienced Patient Services Coordinator with a strong background in referral processing for a remote position.

The Patient Services Coordinator supports the Provider Relations program by managing referral workflows for Riverside University Health System’s 11 community health clinics, medical-surgical center, outpatient surgery services, and patient discharges. This role ensures timely and accurate referral processing while delivering excellent customer service to patients, providers, and internal partners. 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; and performs other related duties as required.

Depending on area of assignment, the Patient Services Coordinator reports to either the Nurse Coordinator, Director of Nursing Services, or an appropriate Revenue Cycle Manager. The Patient Services Coordinator class is primarily responsible for coordinating patient care at the RUHS ambulatory clinics or 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.

Schedule: 5/40 Monday-Friday 8am-4:30pm
Location: The main office location will be in Riverside, CA, but the position will be remote.

Meet the Team!

Riverside University Health System-Medical Center consistently receives national recognition for its progressive and innovative care, as well as being known as one of the top employers in the region. The 439-bed Medical Center is a designated Stroke Center, Level II Trauma Center, and the only Pediatric ICU in the region. Can you see yourself here? For more information on RUHS-Medical Center, please visit: https://www.ruhealth.org/medical-center

EXAMPLES OF ESSENTIAL DUTIES

Process, track, and manage all incoming referrals for RUHS community health clinics, medical-surgical services, outpatient surgeries, and patient discharges.
Verify patient insurance eligibility, provider participation, and required documentation to ensure accurate referral processing.
Serve as a liaison between patients, Primary Care Providers, Specialty Providers, and other healthcare staff to support continuity of care.
Facilitate communication among patients, physicians, nurses, and clinic staff regarding referral status, appointment coordination, treatment authorizations, and resource needs.
Enter and maintain referral data in the managed care system, ensuring timely follow-up on pending items.
Request, review, and route emergency room, outpatient, and surgical notes to the appropriate Primary Care Provider or IPA when related to referral workflows.
Coordinate with contracted IPAs to obtain and return required clinical documentation, including progress notes and referral-related updates.
Assist with patient transfers between RUHS clinics and other facilities when related to referral authorization or eligibility verification (not clinical transport coordination).
Provide high-quality customer service to patients and healthcare partners, addressing questions related to referrals, insurance verification, and care coordination.
Support patients by directing them to appropriate community resources when relevant to referral needs.
Maintain organized, accurate records and manage workload independently in a remote environment.

MINIMUM QUALIFICATIONS

Education: 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.

Experience: 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. 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.

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.

Other Requirements: Computer literate; ability to type 40 wpm.

SUPPLEMENTAL INFORMATION

Application Status: To confirm your application was received or check on the status of your application, log-in towww.GovernmentJobs.com, click on your name in the upper right corner, and click on “Applications & Status.”

Sign Up for Job Alerts: Go towww.RC-HR.com, click on “Careers,” click on “County Job Openings,” and click on “Subscribe to Job Alerts” icon.

For questions regarding this recruitment:
Please contact Edgar Manzo at (951) 955 - 0951 or [email protected].
Please allow 1-2 business days for a response to general inquiries.

________________________________________________________________________________________

APPLICATION INFORMATION

Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouse's death certificate, a letter of spouse's disability and/or letter of service-related death (if available) from the U.S. Veteran's Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here: https://rivcocob.org/board-policies

Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).

Work Authorization Requirement
Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com.

If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at [email protected] or toll-free 1-855-524-5627.

Apply Now

Refine Your Search

revenue cycle specialist jobs in redlands, ca

Patient Services Coordinator

Revenue Cycle Analyst

Healthcare Coding Compliance Auditor - RUHS

Senior Accountant

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I want to receive the latest job alert for revenue cycle specialist in redlands, ca

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ABOUT THE POSITION

EXAMPLES OF ESSENTIAL DUTIES

MINIMUM QUALIFICATIONS

SUPPLEMENTAL INFORMATION

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