County of Alameda

Billing Technician I (#1491)

Bargaining Unit: SEIU 1021 - Clerical (010)
$29.23-$34.67 Hourly / $2,192.25-$2,600.25 BiWeekly /
$4,749.88-$5,633.88 Monthly / $56,998.50-$67,606.50 Yearly

This specification describes a billing technician class which under close supervision performs complex billing work involving the interpretation of detailed materials and instructions containing considerable quantitative data; prepare, maintain or check financial reports; receive and give receipts for money; prepare initial billing documents; monitor and follow-up on open receivables; compute and verify health care charge data; and do related duties as required. This position is located primarily in the Health Care Services Agency.


Billing Technician I is an entry-level classification. This position works under close supervision performing on training basis tasks usually associated with the journey-level class of Billing Technician II. Incumbents of Billing Technician I positions are expected to develop the necessary skills for progression to the Billing Technician II level by the completion of the training period and satisfactory performance.

NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

1. Prepares and reviews billing documents for collection of revenues from third party payor programs and patients; checks and verifies charge rates for services; reconciles patient account balances; verifies payments, completes crossover billing.

2. Reviews billing systems and documents to assure program compliance for Medicare, Medi-Cal, Mental Health, and insurance programs; assures that all appropriate medical documentation is submitted with the billing package.

3. On a routine basis, monitors client service balances by contacting insurance companies via written or verbal communication to ensure timely follow up actions to resolve accounts.

4. Documents billing and payment information to fiscal files; posts payments to the billing system account claim line(s); completes crossover billing to the second payer at the adjudication of the primary payer.

5. Maintains information or operational records; screens reports for completeness and arithmetical accuracy; lists, abstracts, or summarizes data; compiles routine reports from a variety of sources.

6. Prepares bills, abstracts, orders, notes, receipts, permits, licenses, etc.; computes and receives fees when the amount is not in question or is readily obtainable from fixed schedules; posts data to the billing system; maintains records, and prepares reports in accordance with predetermined forms and procedures.


Either I

The equivalent of six months of full-time experience in the class of Clerk II or an equivalent or higher level clerical class in the Alameda County classified service.


The equivalent of one-year full-time experience performing medical billing or medical accounts receivable functions.

NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.

NOTE: The level and scope of the following knowledge and abilities are related to duties listed under the “Examples of Duties” section of this specification.

Knowledge of:

• Modern office practices and procedures, including business correspondence, filing, and standard office equipment.
• Business arithmetic.
• General understanding of third-party payor programs and billing procedures.
• Customer service techniques and practices.

Ability to:

• Perform office clerical work.
• Prepare accurate arithmetical computations.
• Understand and follow oral and written directions.
• Read and interpret procedure manuals.
• Input accurate data into various computer systems in a timely manner.
• Maintain patient confidentiality
• Use 10-key adding machine.
• Adjust to changes in workflow and meeting deadlines.
• Communicate effectively orally and in writing.

DW:Lm-h 12/84
TMZ:pb Update: 2/27/89
Old Doc: 0186h
New document: Jobspecs/1491-1492
CSC Date: 1/30/85
TE:pf Rev. 6/26/02
CSC Date: 8/28/02
RE:po Revised 12/14/05 Clerical Study
CSC Date: 5/24/2006
SP:cs Revised 10/21/15
CSC Date:
NLB:jf Revised 4/20/2017
CSC Date: 6/7/2017


Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees) 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 12 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Catastrophic Sick Leave
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.


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