[Hiring] Patient Services Coordinator @County of Riverside

Role Description

The County of Riverside – Riverside University Health System (RUHS) – Community Health Center (CHC) Mead Valley Division, is seeking a detail-oriented and experienced Patient Services Coordinator with a strong background in referral processing for a remote position. The Patient Services Coordinator supports the Provider Relations program by managing referral workflows for Riverside University Health System’s 11 community health clinics, medical-surgical center, outpatient surgery services, and patient discharges. This role ensures timely and accurate referral processing while delivering excellent customer service to patients, providers, and internal partners.

Under minimal supervision, performs a variety of administrative and clerical duties in support of the Riverside University Health System (RUHS) Managed Care or Care Management program; and performs other related duties as required.

Depending on area of assignment, the Patient Services Coordinator reports to either the Nurse Coordinator, Director of Nursing Services, or an appropriate Revenue Cycle Manager. The Patient Services Coordinator class is primarily responsible for coordinating patient care at the RUHS ambulatory clinics or for coordinating referrals generated with contracted Managed Care Plans, both public and private. In addition, this class coordinates with physicians and mid-level providers regarding patient care or IPA's for all patients scheduled for appointments at RUHS, and obtains all authorizations necessary for patient care.

• Schedule: 5/40 Monday-Friday 8am-4:30pm
• Location: The main office location will be in Perris, CA, but the position will be remote.

Examples of Essential Duties

• Process, track, and manage all incoming referrals for RUHS community health clinics, medical-surgical services, outpatient surgeries, and patient discharges.
• Verify patient insurance eligibility, provider participation, and required documentation to ensure accurate referral processing.
• Serve as a liaison between patients, Primary Care Providers, Specialty Providers, and other healthcare staff to support continuity of care.
• Facilitate communication among patients, physicians, nurses, and clinic staff regarding referral status, appointment coordination, treatment authorizations, and resource needs.
• Enter and maintain referral data in the managed care system, ensuring timely follow-up on pending items.
• Request, review, and route emergency room, outpatient, and surgical notes to the appropriate Primary Care Provider or IPA when related to referral workflows.
• Coordinate with contracted IPAs to obtain and return required clinical documentation, including progress notes and referral-related updates.
• Assist with patient transfers between RUHS clinics and other facilities when related to referral authorization or eligibility verification (not clinical transport coordination).
• Provide high-quality customer service to patients and healthcare partners, addressing questions related to referrals, insurance verification, and care coordination.
• Support patients by directing them to appropriate community resources when relevant to referral needs.
• Maintain organized, accurate records and manage workload independently in a remote environment.

Qualifications

• Graduation from high school or possession of a Certificate of Proficiency issued by the California State Board of Education, or attainment of a satisfactory score on a G.E.D. test.
• Three years of increasingly responsible, broad and varied clerical experience, at least one year of which included working in a managed care, healthcare, or behavioral health setting.
• Experience as a Licensed Vocational Nurse or experience equivalent to the County of Riverside Behavioral Health Specialist I class is preferred.

Requirements

• Knowledge of rules and regulations pertaining to the confidentiality of medical information from federal, state and county agencies.
• Knowledge of medical terminology and basic laws of healthcare facilities and hospitals.
• Knowledge of federal, state and county regulations related to healthcare compliance.
• Ability to interpret medical information, diagnosis and apply medical guidelines.
• Ability to communicate effectively orally and in writing.
• Ability to maintain effective working relationships with a wide variety of individuals.
• Ability to work independently, as well as in a team environment.
• Ability to operate a variety of telephone technology systems.
• Ability to understand the capabilities and applications of information processing equipment.
• Ability to utilize motivational interviewing skills.
• Ability to work efficiently in a fast-paced environment.
• Ability to provide excellent customer service.
• Computer literate; ability to type 40 wpm.

Benefits

• Veteran's Preference Policy applicable to new hires.
• Reasonable accommodations for applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA).
• In-person attendance is the standard work expectation for County of Riverside assignments.
• Eligibility for a hybrid telework schedule subject to management approval.
• Pre-employment requirements including a criminal background investigation.
• Probationary period provisions as specified in the applicable Memorandum of Understanding.