$49.41-$60.04 Hourly / $8,565.00-$10,407.00 Monthly / $102,778.00-$124,878.00 Yearly
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.
Knowledge: complex federal Medicare, state Medi-Cal and private insurance regulations applicable to hospital and specialty healthcare services billing; sequential billing priorities based upon a patient's type of coverage or healthcare benefits; procedures for collecting payments on delinquent accounts; the basic principles of accounts receivable, including posting payments and adjustments to accounts and reconciling receipts and payments. Requires knowledge of: HIPPA transactions and code sets, CMS 1500 claims, electronic data processing methods, principles and procedures; the operation and use of a complex variable task computer system; appropriate formats for submission of data to the EDP or other Units/ Agencies.
Ability or Skill to: plan, formulate, develop and execute policies for the Billing, Claims and/or Collections Department of a medical facility or healthcare agency; supervise and coordinate the activities of a large group of employees; understand and apply methods and procedures appropriate to the field of health care billing and collections; communicating tactfully, courteously and effectively with a variety of people to explain complex policies and resolve complaints; writing and preparing correspondence, reports and financial records; use of a ten key adding machine and computer operating systems and business software applications to train others in their use.
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:
Five (5) 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, of which three (3) years must be in a supervising capacity.
License and Certification:
Substitution:
SUPPLEMENTAL INFORMATION |
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PROMOTIVE LINES |
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From: 1663 Patient Accounts Supervisor To: |
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ORIGINATION DATE: |
01/22/1990 |
AMENDED DATE: |
09/21/15; 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 |