Job Description

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

• Application Opening – Friday, May 2, 2025
• Application Deadline – Application filing will close on or after Friday, May 16, 2025
• Salary : $89,830 - $109,252 Annually
• Appointment Type : Permanent Civil Service
• Recruitment ID : PBT-1662-151390

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list. 

Job Description

Under general supervision, supervises a unit involved in processing health care claims for reimbursement: monitors accounts, bills and reports; interprets, implements and enforces policies and procedures; traces and adjusts bills; assists patients and third party payors; assists the Patient Accounts Supervisor and performs related duties as required.

Examples of essential duties of this position include but are not limited to:

• Provides immediate supervision to a staff involved in processing claims for reimbursement; reviews work of subordinates for complete documentation as required for claims processing; resolves problems in cases assigned to unit; performs related duties such as preparing, employee production reports and timerolls and screening and distributing mail;
• Using computer reports to identify problem areas, monitors accounts assigned to billing clerks in order to ascertain timely processing; monitors patient accounts transferred from other hospitals; monitors pending Medi-Cal bills for completeness; monitors exception report printout listing accounts in pre-billing stage for correct coding;
• Assists in implementing new procedures when State and Federal laws governing reimbursement changes interprets relevant Medi-Cal and Medicare regulations; enforces existing business office procedures for claims processing;
• Traces Medi-Cal reports by analyzing and researching denials of reimbursement either personally or through assignment to subordinates; uses tracer report to verify reasons for unpaid bills; uses restricted access to terminals to make billing adjustments; researches private insurance claims for missing information;
• Assists patients with forms and questions; assists in all incoming calls or correspondence relating to third party payor inquiries; contacts patients or Department of Social Services for verification of Medi-Cal status contacts auxiliary departments concerning problems involving documentation required for billing; and
• Handles Patient Accounts Supervisor's responsibilities in his or her absences assists supervisor in preparing reports for annual audit.

The 1662 Patient Accounts Assistant Supervisor also performs other related duties as required.

Qualifications

Minimum

Qualifications

- Required

EXPERIENCE: Two (2) years of experience billing, claims processing and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance, third party payors, and individual payors in a hospital, healthcare agency, or healthcare billing organization.

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).

DESIRABLE

QUALIFICATIONS

:  The stated desirable

qualifications

may be considered at the end of the selection process when candidates are referred for hiring. 

• Thorough knowledge of medical claims processing procedures, including Medicare, Medicaid and insurance billing rules and requirements.
• Knowledge of the basic principles of accounts receivables, including payments posting, adjustments and error corrections processing.
• Experience working with HIPAA electronic transactions and formats, including: 837, 835, 834, 820, 276, and 277; and, standard code sets such as, ICD-10, HCPCS Level 1 and Level 2, etc.
• Ability to explain complex policies and procedures to a wide variety of people, such as Clinic staff and patients.
• Ability to apply billing and collections methods and procedures.
• Ability to supervise the work of subordinate staff.

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum

qualifications

. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Additional Information

Selection Procedures :
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Assessment Component
Candidates that meet the minimum

qualifications

will be invited to participate in Supplemental Questionnaire exam that is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of medical claims processing procedures, including complex Federal Medicare, State Medicaid/Medi-Cal and Universal Billing Forms regulations applicable to hospital and mental health billing; Knowledge of the basic principles of accounts receivable, including posting of payments and application of adjustments; Knowledge of the basic principles of electronic data processing; Knowledge of billing and collections methods and procedures; Supervision; Interpersonal/ Collaborative Ability; Oral Communication; Computer Ability, which includes computer and software use; and/or Written Communication.

Supplemental Questionnaire Examination (Weight: 100%): Candidates must achieve a passing score on the supplemental questionnaire exam in order to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Certification
The certification rule for the eligible list resulting from this examination will be the Rule of 10 Scores.

Eligible List/Score Report :
Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit

The duration of the eligible list resulting from this examination process will be 6 months and may be extended with the approval of the Human Resources Director.

How to apply:
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. 

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at  this link.  

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Terms of Announcement and Appeal Rights:

This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at  . The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum

qualifications

and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date. 

Additional information

regarding Employment with the City and County of San Francisco: 

If you have any questions regarding this recruitment or application process, please contact the analyst, Elaine Adams at elaine.adams@sfdph.org or (628) 271-6974 . 

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

Job Tags

Permanent employment, Full time, Work experience placement, Local area, Immediate start,

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