Patient Services Coordinator - Indio

Salary : $47,874.37 - $71,249.27 Annually

Location : Indio

Job Type : Regular

Job Number : 25-73998-01

Department : RUHS-Community Health Clinics

Division : RUHS-CHC-Indio

Opening Date : 02 / 21 / 2025

Closing Date : 3 / 2 / 2025 11 : 59 PM Pacific

ABOUT THE POSITION

Applications will be reviewed in the order of when it was received

Riverside University Health System is seeking a Patient Services Coordinator to provide vital support in managing patient referrals and ensuring smooth coordination of specialty care visits. This position will involve following up on referrals, re-directing them as necessary, and working within work queues to ensure patients attend their scheduled specialty visits. The coordinator will also maintain regular contact with patients to provide updates, gather necessary information, and address any concerns.

Location Schedule : Indio CHC 3 days - 2 days Palm Springs CHC

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 the 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.

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EXAMPLES OF ESSENTIAL DUTIES

• 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.
• 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.

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.

SUPPLEMENTAL INFORMATION

Other Requirements

License / Certificate : Possession of a valid California Driver's License may be required.

Skills : Computer literate; ability to type 40 wpm.

Bilingual Testing

The Human Resources Department will coordinate a Bilingual (Spanish) Non-Proctored Assessment.

County of Riverside Human Resources Contact :

For more information regarding this position, please contact the recruiter, Jammie Smith, via email at jasmith@rivco.org

APPLICATION INFORMATION

Veteran's Preference

The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. 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. The Veterans Preference Policy, C-3 is available here :

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 :

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 () or Association of International Credential Evaluators, Inc. ().

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,

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 support@governmentjobs.com or toll-free 1-855-524-5627.

MEDICAL / DENTAL / VISION INSURANCE : A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans.

Note : Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list

MISCELLANEOUS RETIREMENT : County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).

A new member is defined as any of the following :

CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note :

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at (951) 955-4981,

Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.

DEFERRED COMPENSATION : Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual) :

10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK LEAVE : Four (4) hours Sick Leave accrual per pay period with unlimited accrual.

HOLIDAYS : Normally 12 paid holidays per year

BEREAVEMENT LEAVE : Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance)

BASIC LIFE INSURANCE : Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.

DISABILITY : Short-term Disability benefit pays up to a maximum of $461.54 weekly, payable up to a maximum of 52 weeks.

POST RETIREMENT MEDICAL CONTRIBUTION : A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable Memorandum of Understanding.

OTHER : There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.

Do you possess a high school diploma, G.E.D. equivalency or high school proficiency certificate?

How many years of broad and varied clerical experience do you possess?

How many years do you possess working in a managed care, healthcare, or behavioral health setting?

How many years of experience do you have where your responsibilities gradually increased in complexity and scope in a clerical role? Please include a detailed listing of your progression and promotions in responsibilities on your application or resume.

How many years of experience do you have working directly with patients, scheduling appointments, and coordinating services?

How many years of experience do you have using EPIC patient management systems or electronic health records (EHR) to track patient referrals or appointments?

How many years of experience do you have following up on and re-directing patient referrals in a managed care, healthcare, or behavioral health setting?

How many years of experience do you have working with work queues to manage and ensure patients attend their specialty visits?

What is your Spanish bilingual level?

I understand that I will be required to pass a proctored / un-proctored Spanish assessment before interviewing.

Can you type 40 net words per minute?

I understand that I may be required to take an unproctored typing test as part of the application process.

Required Question

Salary : $47,874 - $71,249