Top 226 Patient services representative Jobs in Bloomington Ca

Utilization Specialist PRN
Pacific Grove —Riverside, CA
- $31 - $50 an hour
- PRN
- CPR Certification
- Nursing
- RN License
- Employee assistance program
Front Office Clerk
Community Health Systems, Inc. —Bloomington, CA
- $23.00 - $29.39 an hour
- Full-time
- Spanish
- Inventory management
- Writing skills
11d
Call Center Representative
University of California, Riverside —Riverside, CA
- $25.38 - $35.97 an hour
- Overtime
- Mid-level
- US work authorization
- Medical terminology
Temp - Patient Service Representative
Community Health Systems, Inc. —Bloomington, CA
- $23.00 - $29.39 an hour
- Full-time
- Spanish
- Writing skills
- Basic math
12h
Front Office Admin - Patient Service Representative I
Unicare Community Health Center —Fontana, CA
- $25 - $30 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
7d
Patient Services Specialist
SimonMed Imaging —San Bernardino, CA
- $21 an hour
- No weekends
- Background check
- High school diploma or GED
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
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
Patient Services Coordinator
University of California, Riverside —Riverside, CA
- $25.38 - $35.97 an hour
- Overtime
- Mid-level
- US work authorization
- 2 years
Patient Service Representative
DermCare Management —Loma Linda, CA
- $19 - $23 an hour
- Spanish
- OSHA
- Sales
- Paid holidays
- Health insurance
Quick Apply
1d
Patient Access Center (PAC) Coordinator (Per Diem)
University of California, Riverside —Riverside, CA
- $25.38 - $35.97 an hour
- 8 hour shift
- HIPAA
- Mid-level
- US work authorization
OR Clerk
San Antonio Regional Hospital —Upland, CA
- $23.00 - $31.82 an hour
- Per diem
- Computer literacy
- Writing skills
- No experience needed
Contact Center Agent
Independent Living Systems —Fontana, CA
- $19 - $25 an hour
- Full-time
- HIPAA
- Administrative experience
- High school diploma or GED
Quick Apply
5d
Eligibility Specialist
Community Health Systems, Inc. —Riverside, CA
- $23.00 - $29.39 an hour
- Full-time
- Customer service
- Writing skills
- High school diploma or GED
5d
Clinic Clerk - Ward Clerk
InnovAge —San Bernardino, CA
- $22.12 - $26.54 an hour
- Email
- Bilingual
- Background check
- CPR Certification
- AD&D insurance
- Paid holidays
Receptionist
PDS Health —Rancho Cucamonga, CA
- $17 - $24 an hour
- Full-time
- Hospitality
- Dental office
- Computer literacy
- Health insurance
- Dental insurance
Receptionist
Sonrava Health —Fontana, CA
- $17 - $19 an hour
- Full-time
- Dental office
- Cleaning
- Marketing
- Health insurance
- Dental insurance
OR Scheduling Secretary
AHMC Healthcare —Riverside, CA
- From $23 an hour
- Computer literacy
- BLS Certification
- High school diploma or GED
Patient Service Representative
Community Health Systems, Inc. —Moreno Valley, CA
- $23.00 - $29.39 an hour
- Full-time
- Spanish
- Writing skills
- Basic math
7d
Temp - Operator
Community Health Systems, Inc. —Riverside, CA
- $23.00 - $29.39 an hour
- Full-time
- Spanish
- Computer literacy
- Writing skills
7d
Admissions Representative/Registrar - Per Diem
Corona Regional Medical Center —Corona, CA
- $23.00 - $33.18 an hour
- Per diem
- Acute care
- Hospital
- Computer skills
- Continuing education credits
- Health insurance

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Utilization Specialist PRN

Pacific Grove -
Riverside, CA

Apply Now

Job Details

PRN
$31 - $50 an hour

Benefits

Employee assistance program

Qualifications

CPR Certification
BLS Certification
High school diploma or GED

Full Job Description

Overview:

Pacific Grove Hospital in Riverside, CA., is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated to the treatment of behavioral health and substance abuse services. Come join TEAM PGH as a UR Specialist!

Flexible scheduling
Competitive Pay
Employee Assistance Program (EAP)

Hourly pay range: $31-50 DOE and licensure held

PURPOSE STATEMENT:

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.

Responsibilities:

ESSENTIAL FUNCTIONS:

Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Conduct quality reviews for medical necessity and services provided.
Facilitate peer review calls between facility and external organizations.
Initiate and complete the formal appeal process for denied admissions or continued stay.
Assist the admissions department with pre-certifications of care.
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Required Education: High school diploma or equivalent.
Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
First aid may be required based on state or facility requirements.

ADDITIONAL REGULATORY REQUIREMENTS:

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

PACGRV

Apply Now

Refine Your Search

patient services representative jobs in bloomington ca

Utilization Specialist PRN

Front Office Clerk

Call Center Representative

Temp - Patient Service Representative

Front Office Admin - Patient Service Representative I

Patient Services Specialist

Patient Services Coordinator

Patient Services Coordinator

Patient Service Representative

Patient Access Center (PAC) Coordinator (Per Diem)

OR Clerk

Contact Center Agent

Eligibility Specialist

Clinic Clerk - Ward Clerk

Receptionist

Receptionist

OR Scheduling Secretary

Patient Service Representative

Temp - Operator

Admissions Representative/Registrar - Per Diem

I want to receive the latest job alert for patient services representative in bloomington ca

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