PATIENT RESOURCES WORKER

Position/Program Information

EXAM NUMBER:

Y9192V

TYPE OF RECRUITMENT:

We welcome applications from anyone!

APPLICATION FILING PERIOD:

Filing will start effective Tuesday, May 6, 2025, at 12:30 p.m. (PT)

Filing will be suspended after the first 500 applications are received or by May 17, 2025, at 5: 00p.m (PT), whichever occurs first.

Applications received after the first 500 or May 17, 2025, 5:00 p.m. (PT) will not be considered.

OUT OF CLASS EXPERIENCE WILL BE ACCEPTED

If you performed work that differs from the duties described in your class specification and you believe qualifies you for this opportunity, please describe the out-of-class duties in detail in the Work Experience and Supplemental Questions sections of their application. We also encourage you to submit any supporting documentation such as out of class/additional responsibility bonuses, verification of experience documents, and performance evaluations in order to assist our review of your qualifications.

Why work for us?
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.

The team member we are searching for:
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

What are some of the responsibilities of a Patient Resources Worker?

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

Requirements to qualify:

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.

Healthcare setting includes, but is not limited to, acute-care hospitals; long-term care facilities, such as nursing homes and skilled nursing facilities; physicians' offices; urgent-care centers, outpatient clinics; and home healthcare (i.e., healthcare provided at home by a healthcare professional).

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).

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 the required degree/coursework, you must include a legible copy of the official diploma, official transcripts, or official letter from the accredited institution which shows the area of specialization, at the time of filing or within seven (7) calendar days from day of filing. Please submit documentation to ainiguez2@dhs.lacounty.gov and indicate your name, the exam name, and the exam number.

The document should show the date the degree was conferred and be in English; if it is in a foreign language, it must be translated and evaluated for equivalency to U.S. standards. For more information on our standards for educational documents, please visit: https://file.lacounty.gov/SDSInter/dhr/070812_PPG123.pdf and https://file.lacounty.gov/SDSInter/dhr/205105_PPG_123_ACE_Resource_Guide.pdf

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

Applications indicating c ompletion of sixty (60) semester or ninety (90) quarter units without evidence of the transcript(s) will not be considered for meeting the Minimum Requirements for Option IV.

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.

Additional Information

EXAMINATION CONTENT :

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

You must be willing and able to perform job-related tasks and achieve a passing score of 70% or higher on the 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.

SELECTIVE CERTIFICATION
In accordance with TITLE 5 - PERSONNEL, APPENDIX 1 (Civil Service Rule 11.03) of the Los Angeles County Code, Selective Certification may be used for certain work locations and shifts.

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

VACANCY INFORMATION:
The list of successful candidates created from this exam will be used to fill vacancies throughout the Department of Health Services as they occur.

APPLICATION AND FILING INFORMATION:

We only accept applications filed online. Applications submitted by U.S. mail, fax, or in person are not accepted. Apply online by clicking on the "Apply" green button at the top right of this posting. This website can also be used to get application status updates.

Please fill out the application completely. Provide relevant job experience including employer's name and address, job title, beginning and ending dates, number of hours worked per week, and description of work performed.

We may verify information included in the application at any point during the examination and hiring process, including after an appointment has been made. Falsification of information could result in refusal of application or rescission of appointment. Copying verbiage from the Requirements or class specification as your work experience will not be sufficient to demonstrate meeting the requirements. Doing so may result in an incomplete application and may lead to disqualification.

SOCIAL SECURITY NUMBER:

Federal law requires that all employed persons have a Social Security Number, so include yours when applying.

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. Please refer to their website for updated information https://lacountylibrary.org/library-locator .

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.

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. We are 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

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• Los Angeles County

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