County of Alameda

Billing Technician II (#1492)

Bargaining Unit: SEIU 1021 - Clerical (010)
$31.00-$36.78 Hourly / $2,325.00-$2,758.50 BiWeekly /
$5,037.50-$5,976.75 Monthly / $60,450.00-$71,721.00 Yearly

This specification describes a billing technician class which under general 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.


This is the journey-level billing classification. Positions in this class are differentiated from those in the general clerical series and accounting clerical series by the numerical aptitude and program billing knowledge demanded of the incumbents. Billing Technician II's typically perform billing services requiring specialized knowledge of third party payment sources. Incumbents are expected to solve routine problems without assistance. These positions also have a high degree of public contact in responding to and initiating inquiries regarding bills.

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 one year of full-time experience in the class of Billing Technician I or in an equivalent or higher clerical class in the Alameda County classified service.


The equivalent of two years’ 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:

• Health care third-party reimbursement programs such as Medicare, Medi-Cal or private insurance.
• Purposes, methods and practices of billing, accounts receivable, and collection.
• Modern office practices and procedures, including business correspondence.
• Filing, office equipment operations and on-line computers.
• Business arithmetic.
• Customer service techniques and practices.

Ability to:

• Prepare financial reports and maintain ledgers and journals using computer software.
• Interpret program billing policies, procedures, and billing regulations.
• Work independently with minimal direct supervision;
• Plan and organize work.
• Perform office clerical work including operating general office and technical equipment.
• 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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