City and County of San Francisco

Under general supervision, collects payments on delinquent accounts for services that have been rendered to patients of the Department of Public Health.

This classification is distinguished from the classifications of 1635 Health Care Billing Clerk I and 1636 Health Care Billing Clerk II in that the 1637 Patient Accounts Clerk monitors the work of Billing Clerks by following the individual accounts through to completion and making sure that all the billing recommendations have been followed.

None.

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

1. Reviews and edits bills and claims to make sure the information is accurate and complete.
2. Collects payments on outstanding accounts for which tracers have already been sent according to predetermined schedules.
3. Performs the more technically difficult or complicated billing, accounts receivable, or collections work of the unit, including preparing spreadsheets on more difficult accounts.
4. Compiles information and prepares all documents for transferring outstanding accounts to the Bureau of Delinquent Revenue of the Tax Collector's Office following procedures as specified in the City Charter.
5. Handles specialized accounts, such as the "full bill" accounts in which payments are made directly by the patient rather than by a third-party payor and accounts involving lawsuits and estates.
6. Communicates with patients, physicians, insurance representatives and other for the purpose of collecting payments.

Knowledge of: Complex government and commercial regulations applicable to billing for reimbursement; priority of billing Medicare and Medi-Cal based on the patient's types of coverage; accounts receivable procedures; credit interviewing techniques; legal requirements for transferring accounts to the Bureau of Delinquent Revenue and basic concepts of Electronic Data Processing.

Ability or Skill to: Perform accurate mathematical calculations; interpret complex laws and regulations; exercise judgment in determining follow-up actions; communicate effectively orally and in writing; establish and maintain effective working relationships; and use a personal computer to enter and update data, create documents and use system applications, e-mail, spreadsheets, and word-processing software.

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification.  Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.

Education:

Experience:
Eighteen (18) months 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.

License and Certification:

Substitution:
Completion of 15 semester units or 22 quarter units of medical billing related coursework from an accredited college or university may substitute for six (6) months of qualifying experience.

SUPPLEMENTAL INFORMATION
PROMOTIVE LINES
To: 1662 Patient Accounts Assistant Supervisor From: 1636 Health Care Billing Clerk II
ORIGINATION DATE:	10/02/1979
AMENDED DATE:	03/13/18; 09/11/19
REASON FOR AMENDMENT:	To accurately reflect the current tasks, knowledge, skills & abilities, and minimum qualifications.
Business unit(s):	COMMN SFMTA SFCCD SFUSD

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.