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About the Role

The Patient Accounts Supervisor will assign, supervise, and review the work of staff engaged in billing, claims processing, collections, and/or posting of reimbursements and payments for services rendered by the San Francisco Department of Public Health (DPH). This role is crucial for ensuring the financial health of the department and supporting its mission to protect and promote the health of all San Franciscans.

Responsibilities

Assign, supervise, and review the work of subordinate personnel engaged in processing healthcare medical claims and/or collecting patient accounts, including handling patient complaints regarding billing.
Interpret, implement, and enforce policies and procedures related to billing, collections, and cash posting, including Medicare, Medi-Cal, and other state and federal payer regulations.
Coordinate procedures with other divisions within the Department of Public Health, other City and County departments, and contractor agencies.
Refer accounts to and furnish the Bureau of Delinquent Revenue with information regarding delinquent accounts.
Supervise the processing of bills necessary to comply with subpoenas and obtain assignment of benefits for patients or insured.
Correspond with attorneys in connection with the payment of bills.
Maintain and review records and reports such as audit trails for federal and state auditors, California Hospital Facilities Commission reports, monthly reports of accounts receivable, cost reports, and other financial records/reporting.
Establish audit and control procedures as part of a data collection system for service charges.
Work with systems analysts to correct detailed problems in individual cases within the Electronic Data Processing system.
Attend meetings and seminars to stay informed of changes in billing regulations, collection procedures, and Utilization Review guidelines.
Perform related duties as assigned.

Requirements

Four (4) years of experience in billing, claims processing, and/or collecting medical claims or healthcare service reimbursements from Medicare, Medi-Cal (Medicaid), insurance, third-party payors, and individual payors in a hospital, healthcare agency, or healthcare billing organization.
Two (2) years of the above experience must be in a supervisory capacity.
Applicants must meet the minimum qualification requirement by the final filing date.

Skills

Knowledge of Medicare, Medi-Cal, health insurance plans, and other state and federal regulations concerning reimbursement.
Knowledge of the basic principles of accounts receivable, accounts payable, and adjustment posting.
Knowledge of the basic principles of Electronic Data Processing and applying it to a large facility with a high volume and variety of data.
Knowledge of HIPAA transactions and code sets.
Ability to make proper interpretations of Medicare, Medi-Cal, health insurance plans, and other state and federal regulations concerning reimbursement.
Ability to plan, review, and supervise the work of subordinates engaged in health care billing and collections.
Interpersonal Relations.
Written Communication.
Oral Communication.
Computer Skills.
Skill in identifying pertinent legal references to interpret legal procedures involved in the collection of present liens on file.
Experience utilizing a computerized billing system, financial spreadsheet, database, and word processing.
Supervisory experience in a Hospital, Healthcare Provider Agency or an Organized Healthcare Delivery System with All Payer Billing (Medicare, Medi-Cal, Commercial) and Insurance follow-up/ collections.
Strong knowledge of Healthcare Financial Administration (HCFA): Medicare, Medi-Cal and Commercial regulations regarding Billing and Insurance reimbursements.
Experience supervising a minimum of five (5) full time employees in a healthcare accounts receivable setting.
Working experience with computerized systems such as: Epic, Experian, Fiscal Intermediary Direct Data Entry (DDE), Cal-Meds, MS Office.
Knowledge of electronic HIPAA transactions such as, 837 Claims/ Encounters, 835 EOB/ Remittance Advice, 834 Benefit Enrollments, Updates and Terminations, 276 Claim Status Inquiry, and 277 Claim Status Responses.
Knowledge of Standard Code sets, including: ICD-10 and HCPCS codes.

Location

Onsite

Work Type

Permanent Civil Service
Onsite

Experience Level

2 years supervisory experience
4 years experience billing, claims processing and/or collecting medical claims or healthcare service reimbursements

Salary/Compensations

$108,186 - $131,534 Annually

Benefits

Employee Benefits Overview

About the Company

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.
Becoming a City employee means being a part of a team that cares about making a difference.
Your work will shape both the present and future of San Francisco.
When you work for the City, you’re choosing a job with purpose.
The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans.
Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve.
Individuals interested in joining SFDPH should expect to work in person across these settings.
The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH.
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 Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response.
Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.
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.

Equal Opportunity

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.