PATIENT RESOURCES WORKER PATIENT RESOURCES WORKER Salary $38,149.20 - $44,799.36 Annually Location Los Angeles County, CA Job Type Full time Department HEALTH SERVICES Job Number Y9192R * Description * Benefits Position/Program Information FILING DATE: Filing will start effective April 9, 2018 at 8:00 a.m., PST Until the needs of the service are met and is subject to closure without prior notice. EXAM NUMBER: Y9192R TYPE OF RECRUITMENT: DEPARTMENTAL PROMOTIONAL JOB OPPORTUNITY Restricted to permanent employees of the Department of Health Services who have successfully completed their initial probationary period. Current employees in the unclassified service who meet the following criteria also qualify to participate in this exam: * Employees who have attained permanent County status on a classified position by successful completion of the initial probationary period, with no break in service since leaving the classified service. * Full-time employees with at least six months of full-time experience in the unclassified service at the time of filing. NO WITHHOLDS OR VERIFICATION OF EXPERIENCE LETTERS / OUT-OF-CLASS EXPERIENCE ARE ALLOWED FOR THIS EXAMINATION. APPLICANTS MUST MEET THE MINIMUM REQUIREMENTS AT THE TIME OF FILING. DEFINITION: Identifies patients' financial resources to pay for medical and/or mental health care and services; and assists patients in making assignments for medical benefits, and completes standardized billing forms based upon data acquired. Essential Job Functions Interviews patients or their relatives and/or representatives to obtain identifying information, financial and other eligibility data; determines the patient's potential eligibility to enroll in specific health care programs based upon diagnosis, available medical information, type of medical/clinical services, and residency status; enters and accesses data by utilizing various local and web-based information systems and databases to determine a patient's financial eligibility. Evaluates financial data and resources to determine the patient's ability to reimburse the County for health care services consistent with department policy; completes or assists the patient in the completion of benefits forms for third party resources; contacts private insurance companies to verify coverage and to obtain authorization for services; verifies existing governmental coverage for health care services, and screens for the patient's potential eligibility to receive Medi-Cal or other no-cost/low-cost programs. Communicates with patients, responsible relatives and/or representatives, attorneys, employers, agencies and insurance companies to explain County policies and to obtain, verify, or clarify information required to complete standardized billing forms. Computes plans of payment for patients whose medical share of cost has already been established. Completes required federal, State, and County forms for patients during emergency room visits, upon admission, and during outpatient clinic visits. Refers patients without existing financial resources or with complex financial eligibility issues to a Patient Financial Services Worker or facility staff member. Initiates and/or processes applications for a variety of reduced no-cost/low cost programs, such as ATP and UMDAP. Patient Access Greets and registers patients in person or over the phone. Obtains demographics, preferred pharmacy, emergency contact and insurance information. Enrolls patient using electronic system. Provides forms to patients and completes paperwork for requested services. Determines when language interpretation is needed. Orients patients to health services by providing direction to appropriate locations for services. Verifies coverage and empanelment prior to scheduling. Identifies when authorization and/or letter of agreement may be needed. Identifies discrepancies in assignment and empanelment and appropriately refers complex cases to Patient Relations Representatives. Schedules patient visits by determining the appropriate providers and programs for patients. Ensures timely access to services by actively monitoring and coordinating multiple provider schedules and maintaining appointment templates for clinic providers. Re-verifies eligibility in the month of the appointment to financially clear patients for appointments, conducts patient outreach by phone and/or mail, explains coverage options, refers the patient to member services as needed, and cancels appointments. Checks-in patient for appointment to explain payment options, obtains signatures, collects fees, and keeps records of insurance and patient identification. Performs other related duties, as necessary. Requirements MINIMUM REQUIREMENTS: Option I: Two (2) years of experience interviewing the public to initiate or complete applications for financial assistance, credit, insurance, medical, mental health, hospital services, social security, or workers' compensation. Option II: Three (3) years of clerical experience, two (2) years of which must have involved public contact associated with the financial screening and/or registration of patients or claims billing and collection for hospital or medical services. Option III: Two (2) years of experience involving public contact in the investigation and collection of accounts receivable. Option IV: Completion of 60 semester units earned in an accredited college or university.* Option V: Two (2) years of experience in a health care setting with responsibility for performing patient access related work in the Emergency Department, Urgent Care or other walk-in registration, admitting, financial screening and eligibility verification, and scheduling area. PHYSICAL CLASS II - Light Light physical effort which may include occasional light lifting to a 10 pound limit, and some bending, stooping or squatting. Considerable walking may be involved. LICENSE: A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. SPECIAL REQUIREMENTS INFORMATION *In order to receive credit for any college course work, any type of college degree such as Bachelor or Master, or for completion of a certificate program, you must include a legible copy of the "official" diploma, "official" transcripts, or "official" letter from an accredited institution which shows the area of specialization; or "official" certificates with your application, within fifteen (15) calendar days of filing your application online. Applications indicating possession of a degree or certification without evidence of the degree(s) or certificate will not be considered for meeting the Selection Requirements for Option IV. At the time of appointment, the successful candidate must be prepared to provide an "official" transcript from the college or university to verify completion of 60 semester units from an accredited college or university. Additional Information EXAMINATION CONTENT: This examination will consist of two parts: Part I - An evaluation of education and experience based upon application information weighted 60%. Part II - An Appraisal of Promotability designed to evaluate Knowledge and Skills in the Technical Field, Judgment and Decision Making Skills, Adaptability and Dependability, Oral and Written Communication Skills, Customer Service and Interpersonal Skills weighted 40%. Candidates must achieve a passing score of 70% or higher on each weighted part of this examination in order to be placed on the eligible register. ELIGIBILITY INFORMATION: Applications will be processed on an "as received" basis, and those receiving a passing score will be promulgated to the eligibility register accordingly. The names of candidates receiving a passing score in the examination will be added to the eligible register and will appear in the order of their score group for a period of twelve (12) months following the date of promulgation. No person may compete in this examination more than once every twelve (12) months. SPECIAL INFORMATION: Appointees may be required to work any shift including evenings, nights, weekends and holidays. VACANCY INFORMATION: The resulting eligible register from this examination will be used to fill vacancies throughout the Department of Health Services as they occur. APPLICATION AND FILING INFORMATION: APPLICATIONS MUST BE FILED ONLINE ONLY. HARD COPY/PAPER APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED. Applications electronically received after 5:00 p.m., PST, on the last day of filing will not be accepted. online by clicking on the green "" button at the top right of this posting. You can also track the status of your application using this website. All information is subject to verification. We may reject your application at any time during the examination and hiring process, including after appointment has been made. Falsification of any information may result in disqualification or rescission of appointment. Utilizing VERBIAGEfrom the Class Specification and Minimum Requirements serving as your description of duties WILL NOTbe sufficient to demonstrate that you meet the requirements. Doing so may result in an INCOMPLETE APPLICATION and you may be DISQUALIFIED. Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the MINIMUM REQUIREMENTS. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, and description of work performed. If your application is incomplete, it will be rejected. Passing this examination and being added to the eligible register does not guarantee an offer of employment. Note: All correspondence to applicants will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add Ahsu3@dhs.lacounty.gov and info@governmentjobs.com to your email address book and list of approved senders to prevent email notifications from being filtered as spam/junk mail. FINAL EXAM RESULT NOTICES WILL BE MAILED VIA THE UNITED STATES POSTAL SERVICE. Examination results cannot be given over the phone. If you are unable to attach required documents, you may fax them to (323) 869-0942 or e-mail the documents to the exam analyst at Ahsu3@dhs.lacounty.gov, within 15 calendar days of filing online. Please include the exam number and the exam title. SOCIAL SECURITY NUMBER: Please provide your Social Security Number for record control purposes. Federal law requires that all employed persons have a social security number. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. NO SHARING OF USER ID AND PASSWORD: All applicants must file their application online using their own user ID and password. Using a family member's or friend's user ID and password may erase a candidate's original application record. DEPARTMENT CONTACT: Annie Hsu, Exam Analyst (323) 914-7828 (323) 869-0942 (Fax) Ahsu3@dhs.lacounty.gov ADA COORDINATOR PHONE: (323) 914-7111 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 For detailed information, please click here Agency County of Los Angeles Address ****************** Los Angeles, California, 90010 Website http://hr.lacounty.gov