PATIENT RESOURCES WORKER

Position/Program Information

EXAM NUMBER :

Y9192U

TYPE OF RECRUITMENT :

OPEN COMPETITIVE JOB OPPORTUNITY

APPLICATION FILING PERIOD :

Applications will be accepted starting starting Wednesday, October 23, 2024, at 12:30PM (PT).

THIS ANNOUNCEMENT IS A REPOSTING TO REOPEN THE FILING PERIOD AND UPDATE THE SPECIAL REQUIREMENTS INFORMATION, APPLICATION AND FILING INFORMATION AND SUPPLEMENTAL QUESTIONNAIRE

FILING WILL BE SUSPENDED AFTER THE FIRST 250 APPLICATIONS ARE RECEIVED OR BY November 1, 2024, at 5:00 p.m. WHICHEVER OCCURS FIRST.

Applications received after the first 250 will not be considered .

OUT OF CLASS EXPERIENCE WILL BE ACCEPTED
Los Angeles County employees attempting to meet the requirements via experience inconsistent with their official payroll title will be considered for this examination. Applicants claiming out-of-class experience to meet the requirements should describe their out-of-class duties in detail in the Work Experience and Supplemental Questions sections of their application. Applicants are also encouraged to submit any supporting documentation such as out of class/additional responsibility bonuses, verification of experience documents, and performance evaluations in order to assist staff’s review of applicants' qualifications.

ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES:
The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four hospitals - and expanded network of community partner clinics - DHS annually provides direct care for over 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion. For additional information regarding DHS please visit www.dhs.lacounty.gov .

Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings to supportive housing.

MISSION:
To advance the health of our patients and our communities by providing extraordinary care.
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.

Initiates and/or processes applications for a variety of reduced no-cost/low-cost programs, such as ATP and UMDAP.

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 sixty (60) semester or ninety (90) quarter 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
This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation 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. If you are unable to attach the required documents, you must e-mail them to the Exam Analyst, at ainiguez2@dhs.lacounty.gov within seven (7) calendar days of filing your application online.

**Patient access experience includes but is not limited to experience in Patient Access Coverage Verification & Financial Screening, Emergency Department or Urgent Care Registration and Coverage Verification, Patient Relations (including Empanelment/Primary Care Linkage), and Call Center (for patient scheduling of primary care, specialty care, and diagnostic appointments).

Applications indicating possession of a degree or certification without evidence of the degree(s) or certificate will not be considered for meeting the Minimum Requirements for Option IV.

IMPORTANT NOTICE: Prime Variance Reports (PVRs), also known as Master Time Records, are not accepted, or required as part of the application process; this includes the selection interview and the background-check.

DESIRABLE QUALIFICATIONS:

• Additional experience beyond the Minimum Requirements.
• Associate's degree* from an accredited college, if not used to meet the Minimum Requirements.
• Bachelor's degree* or higher from an accredited college.

ALL APPLICANTS MUST MEET THE REQUIREMENTS AT THE TIME OF FILING IN ORDER TO BE CONSIDERED FOR THIS EXAMINATION.

We do not accept password-protected documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst.

Additional Information

EXAMINATION CONTENT :

This examination will consist of an evaluation of education, experience and desirable qualifications based upon application information, weighted at 100%.

Candidates must achieve a passing score of 70% or higher on the 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 six (6) months following the date of promulgation.

No person may compete in this examination more than once every six (6) months.

SPECIAL INFORMATION:

AVAILABLE SHIFT:
Appointees may be required to work any shift, including evenings, nights, weekends, and holidays.

VACANCY INFORMATION:
The resulting eligible register for this examination will be used to fill vacancies in the Department of Health Services (DHS) throughout Los Angeles County as they occur.

APPLICATION AND FILING INFORMATION:

Applications must be submitted online only. We must receive your application before 5:00 p.m. (PT), on the last day of filing. Apply online by clicking on the "Apply" green button at the top right of this posting. You can also track the status of your application using this web site.

Plan to submit your online application well in advance of the 5:00 p.m. deadline as you may be required to verify your email address. This only needs to be done once per email address, and if you already have a job seeker account on governmentjobs.com/careers/lacounty, you can verify at any time by logging in and following the prompts. This is to enhance the security of your online application and to ensure you do not enter an incorrect email address.

Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the exam requirements as listed on this job posting. Provide any relevant job 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.

Please note that all information included in the application materials is subject to verification at any point during the examination and hiring process, including after an appointment has been made. Falsification of any information may result in disqualification or rescission of appointment. Utilizing verbiage from Class Specification and requirements serving as your description of duties will not be sufficient to demonstrate that you meet the exam requirements. Comments such as “See Resume” or referencing other unsolicited materials/documents will not be considered a response. Doing so may result in an incomplete application and you may be disqualified.

SOCIAL SECURITY NUMBER:
Please include 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, E-MAIL, AND PASSWORD:
All applicants must file their application 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.

FAIR CHANCE INITIATIVE:

The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, regency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.

Anti-Racism, Diversity, and Inclusion (ARDI):

The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. The Department of Human Resources is committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst races. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices.

DEPARTMENT CONTACT:

Andrea Iniguez, Exam Analyst
ainiguez2@dhs.lacounty.gov

(213) 288-7000

TELETYPE PHONE: (800) 899-4099

CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922

For detailed information, please click here

Closing Date/Time: 11/1/2024 5:00 PM Pacific

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• Los Angeles County

• (800) 970-5478

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