NEOGOV · 1 week ago
PATIENT RELATIONS REPRESENTATIVE/COMMUNITY PROGRAMS
Los Angeles County, CA
Full-time
Onsite
Entry, Mid Level
$52K/yr - $70K/yr
2+ years expNEOGOV is looking for qualified and passionate individuals to join the Los Angeles County Department of Health Services in addressing homelessness issues. The Patient Relations Representative will perform complex patient access and relations functions, resolving patient issues and serving as a liaison between patients and healthcare providers.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Assesses and resolves complex patient issues related to primary care linkage, eligibility, billing for services, and managed care plan assignment
Research errors and patient issues, and takes proper action to satisfy those needs by responding to member questions
Assists health care plan members in their interaction with medical care providers, administrative personnel, and third-party payers
Serves as liaison between patients, medical personnel, managed care plans, independent practice associations, insurance companies, case managers, utilization review personnel, and Medi-Cal eligibility workers
Listens, identifies, and recommends health options and services to help meet patients’ needs
Obtains demographic, financial and insurance information
Provides forms to patients and completes paperwork for requested services
Research grievances with hospital administration, physicians, nurses, and other patient support staff; refers inquiries to appropriate department or clinic for response
Enrolls, dis-enrolls, or transfers members
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
Assigns, coordinates, and reviews the work of lower-lever personnel in the unit, ensuring proper work methods are followed
Provides technical assistance and training
Answers and documents incoming calls from patients or providers or greets walk-in members who have concerns surrounding medical care issues
Accesses patient information from a variety of medical plan systems and files for reference purposes and uses computer systems to track and document all complaints and outcomes
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 to patients, refers the patient to member services as needed, and cancels appointments
Checks-in patient for appointment to explain payment options and obtains signatures and collects and keep records of insurance and patient identification
Manage/build provider and clinic templates -Design Change Worksheets (specialized work) working alongside clinicians and Cerner to complete the request as assigned
Applies various rules and regulations of Medicare, Medicaid, Managed Care, and commercial payers regarding referrals, authorizations, and certifications
Performs general office duties, such as answering multiple lines, making appointment reminders, copying, filing, scanning, and faxing
Initiates and/or processes applications for a variety of reduced no-cost/low-cost programs, such as Ability to Pay, Ryan White/Casewatch, Family Planning Access Care Treatment (Family PACT) program, Uniform Method of Determining Ability to Pay, and Hospital Presumptive Eligibility
Prepares daily, weekly, and monthly patient service and activity reports for management’s review
Qualification
Required
Two (2) years of experience in the service of the County of Los Angeles as a Patient Resources Worker
Three (3) years of experience in a healthcare setting at the level of Patient Resources Worker which includes identifying 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 with responsibility for performing patient access related work in Emergency Department/Urgent Care registration or other walk-in registration, admitting, financial screening and eligibility verification, and scheduling areas
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
Considerable knowledge of the different health insurance coverage types and programs, managed care rules and contracts, and internal policies to determine a patient's options for accessing services
Expertise in patient scheduling and registration workflows and procedures
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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