SUPERVISING PATIENT FINANCIAL SERVICES WORKER I/COMMUNITY PROGRAMS

Position/Program Information

EXAM NUMBER

Y9194A-EA

TYPE OF RECRUITMENT

OPEN COMPETITIVE - EMERGENCY

FILING DATES:

November 5, 2024, at 8:00 a.m., (PT)

This opportunity will remain open until the needs of the services are met and is subject to closure without prior notice.

NO OUT-OF-CLASS EXPERIENCE OR WITHHOLDS ARE ALLOWED FOR THIS EXAMINATION.

The LA County Board of Supervisors recently declared a local state of emergency for homelessness, and the County is working to revise and expand our response to help all who are affected. We are looking for qualified and passionate individuals to help us in the mission of addressing issues like housing, mental health, and substance use. If you are looking for a new career that will directly benefit the population of LA County, this may be the opportunity for you.

Department of Health Services Community Programs (Housing for Health for Homelessness) and Office of Diversion and Reentry seek qualified candidates to fill emergency Supervising Patient Financial Services Worker vacancies within Health Services Community Programs related to the homelessness crisis.

Under the emergency order, applicants who meet the requirements may be hired for an initial period of up to 90 days, with an opportunity for permanent County employment.

Before your initial work period ends, you will be assessed on your work performance. This assessment will be weighted 100%.

Those who successfully pass the assessment will be considered for permanent appointment as Supervising Patient Financial Services Worker in Health Services Community Programs.

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 26 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 $6.5 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:
Supervises staff engaged in screening for and determining patients' eligibility for federal, State, County, or other healthcare programs including Medi-Cal and special programs, and for determining access to health care services and assisting patients in preparing/completing applications for healthcare programs and health insurance and primary care linkage options.

Essential Job Functions

Supervises a unit of Patient Financial Services Workers with responsibility for collecting data and entering patient information into the LEADER Replacement System (LRS), as well as other information systems.

Supervises a unit of patient access staff responsible for scheduling/registration, financial screening, insurance authorization initiation and tracking, and primary care linkage.

Provides technical and administrative supervision to a unit of Patient Financial Services Workers, Patient Resources Workers, Patient Relations Representatives, and clerical support staff.

Plans, assigns, supervises, and evaluates the work of the unit.

Trains and instructs employees on proper work assignments, policies and procedures, and workflows related to patient financial eligibility and/or patient access functions.

Reviews case records for completeness, accuracy, consistency, conformity with laws, regulations and policies; ensures that applications have been made for appropriate healthcare programs for which patient is eligible.

Discusses difficult cases with staff, other County departments and/or agencies; and makes suggestions and recommendations for resolving difficulties.

Conducts unit meetings to promote staff development and to interpret federal, State, and County regulations, policies, and procedures.

Investigates complaints and takes appropriate action.

Assists in the evaluation, orientation, and promotion of personnel; initiates appropriate corrective and disciplinary actions; handles grievances at first level.

Prepares or supervises the preparation of operational and financial reports for assigned unit to ensure standards and performance metrics are met.
Supervise a unit that provides training and technical assistance on financial screening and eligibility assessment and determination for governmental healthcare programs, and on completion of benefit applications as assigned.

Requirements

MINIMUM REQUIREMENTS:

Option I: Two years of experience at the level of Patient Financial Services Worker interviewing patients or their relatives and/or representatives to determine patients' financial eligibility for a variety of healthcare programs including the actual preparation and completion of applications for various governmental healthcare programs.

Experience at the level of Patient Financial Services Worker is defined as: Acquires data essential to the determination of patients' eligibility for federal, State, County, or other healthcare programs; andassists patients in preparing/completing applications for healthcare programs to reimburse the County for healthcare services.

Option II: Two years of experience performing patient access functions at the level of Patient Resources Worker or higher, one (1) year of which must have been leading personnel in patient access units.

Patient Access functions 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).

Experience at the level of Los Angeles County class of Patient Resources Worker is defined as: Identifies patients' financial resources to pay for medical and/or mental health care and services; andassists patients in making assignments for medical benefits and completes standardized billing forms based upon data acquired.

Patient Access Unit is defined as a unit responsible for scheduling appointments, patient registration, and verification of coverage/financially clearing patients prior to appointments.

Option III: Two years of experience performing patient access functions at the level of Patient Relations Representative.

Experience at the level of Los Angeles County class of Patient Relations Representative is defined as: Performs complex and specialized patient access and patient relations functions and leads lower-level patient resources workers.

Complex and Specialized patient access and patient relations functions is defined as
having experience in assessing and resolving complex patient issues related to primary care linkage, eligibility, billing for services, and managed care plan assignments. While, requiring specialized knowledge of rules, regulations, and other guidelines relating to completing assignments in a patient access unit. Knowledge is usually attained through extensive, increasingly difficult, and practical experience and training in the subject matter field.

Leading experience is defined as guides, directs, and manages the work of staff to achieve organizational objectives.

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.

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.

Additional Information

OUR ASSESSMENT PROCESS:

Before the end of your initial work period, the appointing department will evaluate your performance. Those who achieve a passing score on this evaluation will be considered for permanent appointment.

ELIGIBILITY INFORMATION:

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.

VACANCY INFORMATION:

The current vacancies are to be filled within Community Programs (Housing for Health for Homelessness).

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

APPLICATION & FILING INFORMATION:

Applications must be filed online only.

Many important notifications will be sent electronically to the email address provided on the application, so it is important that you provide a valid email address. Please add the following email addresses to the list of approved senders to prevent email notifications from being filtered as spam/junk/clutter mail.

yramos@dhs.lacounty.gov

noreply@governmentjobs.com

info@governmentjobs.com

You can opt out of emails from LA County. If you unsubscribe, you will not receive email notifications for any examination you apply with Los Angeles County.

Regardless of whether you choose to unsubscribe, you can always check for notifications by logging into governmentjobs.com and viewing your profile inbox, which saves a copy of all emailed notices.

Plan to submit your online application in a timely manner, 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 www.governmentjobs.com/careers/lacounty, you can verify at any time by logging in and following the prompts. This will enhance the security of your online application and ensure you do not enter an incorrect email address.

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 USER ID AND PASSWORD:

All applicants must file their applications online using their own user ID and password. Using a family member 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, recency 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 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:

Yolanda Ramos
yramos@dhs.lacounty.gov

(213) 288-7000

ADA COORDINATOR PHONE: (323) 914-7111
TELETYPE PHONE: (800) 899-4099
CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922

For detailed information, please click here

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