Salary : $81,202.77 - $92,677.98 Annually
Location : Riverside
Job Type: Regular
Job Number: 26-77493-01-DD
Department: RUHS-Medical Center
Division: Patient Accounting-Billing
Opening Date: 08/03/2026
Closing Date: 8/9/2026 11:59 PM Pacific

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.
The County of Riverside's University Health System-Medical Center is seeking a Patient Access or Patient Business Services Supervisor to support their Patient Accounting Department located in Riverside. This position is responsible for overseeing the day-to-day operations of staff performing a variety of Revenue Cycle functions, including Cash Posting, Self-Pay, Customer Service, Billing Records, Third-Party Liability (TPL), and mail units. Responsibilities include providing staff guidance, responding to customer service complaint calls, monitoring staff productivity, and running and analyzing aging reports. Additional related duties may be assigned as required. Bilingual in Spanish is preferred but not required.

The most competitive candidates will possess knowledge of patient balance billing compliance rules and regulations, including refund requirements for commercial and government payers, experience handling Third-Party Liability (TPL) claims and subpoenas, and knowledge of Medi-Cal eligibility guidelines.

Work Schedule: 5/40, Monday-Friday 7:30am - 4:00pm.
EXAMPLES OF ESSENTIAL DUTIES

Examples of Essential Duties (may include but not limited to)
• Supervise the activities and day-to-day operations of one or more patient access or patient business services/revenue cycle functions: admitting, insurance billing, charge description master, clinic registration and scheduling, cashiering, revenue cycle/collection, provider relations, patient eligibility, and financial counseling at RUHS; review and evaluate policies and procedures in terms of RUHS goals.
• Assist in developing, updating, and implementing policies and procedures to ensure the most efficient methods of achieving patient access or revenue/patient business services goals and objectives, including admitting patients, billing fiscal intermediaries, and maximizing collections of delinquent accounts.
• Evaluate work performance and progress of subordinate employees; develop and implement comprehensive training programs for division personnel; perform or review patient financial evaluations and recommend payment and free care arrangements as appropriate.
• Provide technical guidance to staff on the most difficult and complex work of unit; coordinate the work of units supervised with other RUHS departments, County departments, and external fiscal intermediaries to ensure the accurate flow of information and to solve mutual problems.
• May participate in contract negotiations with fiscal intermediaries; analyze and prepare a variety of detailed financial and statistical reports.

MINIMUM QUALIFICATIONS

Recruiting Guidelines
Education: Graduation from an accredited college or university with a Bachelor's degree, preferably with major coursework in business, public, healthcare, or hospital administration or a closely related field. (Additional journey level experience related to patient access or revenue cycle or patient business services function in a hospital or health care agency may substitute for the required education on the basis of 30 semester or 45 quarter units equaling one year of full-time experience).

Experience: One year of supervisory experience over a patient access or revenue cycle or patient business services function, including billing, collections, admissions, or financial counseling activities in a hospital or health care agency.

Knowledge of: The principles and practices involved in insurance billing, admitting and registration, provider relations, revenue cycle, and credit and collection activities; laws, rules, regulations, and policies affecting patient access and revenue cycle functions; the principles and techniques of supervision, staff utilization, and training.

Ability to: Organize, coordinate, and supervise the work of subordinate staff; develop instructional materials; analyze situations and recommend appropriate actions; establish and maintain effective working relationships with medical staff, fiscal intermediary representatives, and others; prepare clear and concise oral and written reports.

SUPPLEMENTAL INFORMATION
BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.

Application Status

How to confirm your application was received or check on the status of your application, log-in to, click on your name in the upper right corner, and click on "Applications & Status."

Sign Up for Job Alerts

Go to ,click on "Careers," click on "County Job Openings," and click on "Subscribe to Job Alerts" icon.
For questions regarding this recruitmentPlease contact Denise DeCamp at 951-955-0196 or Please allow 1-2 business days for a response to general inquiries.
APPLICATION INFORMATION

Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouse's death certificate, a letter of spouse's disability and/or letter of service-related death (if available) from the U.S. Veteran's Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here:
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at:
Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services () or Association of International Credential Evaluators, Inc. ().
Work Authorization Requirement
Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.
BENEFIT PROGRAM: SEI

MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable SEIU Memorandum of Understanding to contribute towards the cost of these plans.

Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).

• Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
• Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
• Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.

A new member is defined as any of the following:

1. A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.
2. A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS.
3. A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.

CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.
Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at (951) 955-4981,
Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.

DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual):
0 < 3 year = 80 Hours (10 Days)
4 < 9 years = 120 Hours (15 Days)
10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK L