$33.15-$40.26 Hourly / $5,746.00-$6,979.00 Monthly / $68,952.00-$83,746.00 Yearly
According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.
1. Interview patients, their relatives and others to obtain financial and demographic information and determine eligibility for coverage of medical care under various Federal, State or County programs or under the provisions of private or public health care plans; verify insurance and arrange for billing of the appropriate agency or health care plan.
2. Admit and register patients for clinic and hospital services; initiate referrals for incoming skilled or long term care patients.
3. Coordinate transfers of patients between medical facilities; inform patients of procedures and necessary reports.
4. Explain eligibility programs, qualification standards, policy and procedure to patients; assist patients in completion of applications, forms and reports when necessary; review and evaluate applications for completeness and accuracy; prepare patient budget to determine eligibility.
5. Prepare records related to patient eligibility information and financial assistance received; update records; submit required reports.
6. Investigate statements and information received from applicant through the use of telephone or written verifications.
7. Investigate and resolve patient questions and concerns regarding clinic and hospital bills.
8. Review cases with supervisor in assessing the quality of the payment source determination process and procedure.
9. Compose and prepare correspondence to patients, references, and State agencies; gather statistical data and prepare reports as required.
10. Answer questions and provide information to patients and the general public regarding assigned program area.
11. Perform related duties as required.
These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification. Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.
Experience:
1.Two (2) years of direct public contact clerical work experience which must have included the following: use of computer applications to input, retrieve and analyze information; working with a diverse client population; performing responsibilities involving interviewing to acquire detailed personal or confidential information; interpreting and applying rules, regulations and policies; creating and processing documents related to financial or personal histories of clients; and assisting clients with the completion of forms or correspondence.
OR
2.One (1) year of experience determining eligibility for health and/or social services programs, loans, financial assistance, unemployment or veterans benefits.
OR
Education:
3.Sixty (60) semester units or ninety (90) quarter units from an accredited college or university.
License and Certification: None
Substitution:
Thirty (30) semester units or forty-five (45) quarter units from an accredited college or university may substitute for one (1) year of the work experience under qualification pattern number one (1) above.
Established: 2/13/1968
Amended: 1/17/1972; 3/15/1993; 9/5/2014; 11/12/2014