County of Alameda

Billing Technician III (#1493)

Bargaining Unit: SEIU 1021 - Clerical (010)
$33.51-$39.71 Hourly / $2,513.25-$2,978.25 BiWeekly /
$5,445.38-$6,452.88 Monthly / $65,344.50-$77,434.50 Yearly

Under direction, to act as a lead worker and provide training for a group of Billing Technician I’s/II’s; to personally perform the most complex billing work requiring the application of specialized knowledge and a comprehensive understanding of billing functions; and to perform related duties as required.


These positions are located in the Health Care Services Agency. They are distinguished from the journey-level class, Billing Technician II, by having program responsibility for a billing operation, through lead responsibility for or supervision of a unit of billing technicians, or by the performance of difficult billing functions requiring a specialized and comprehensive knowledge of a major program's billing procedures and requirements. Incumbents may be assigned functional responsibility for the maintenance of a major portion of a complex billing operation. In contrast with the next higher-level class, Senior Billing Technician, incumbents do not have formal supervisory responsibility for at least five Billing Technicians and/or Account Clerks. The work assigned to positions in this class is seldom supervised and may be checked or reviewed only upon completion.

Designated positions in this class involve a considerable amount of typing.

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. Acts as a working supervisor for a billing unit, instructs new employees, assigns work, and acts as a resource person for answers to unusual problems encountered in the work of the unit. Provides input to management on matters related to employee performance and discipline.

2. Assumes responsibility through posting, adjusting, and balancing for the maintenance of a major program billing package.

3. Performs special research or training projects requiring a comprehensive understanding of billing procedures; provides input to management regarding operational needs; troubleshoots procedural problems and proposes new procedures.

4. Audits the most complex patient claims for arithmetical accuracy, legibility, and compliance with program billing requirements.

5. Compiles accounting, program revenue, and statistical reports for departmental review or incorporation into a summary report or statement required by State, Federal, or program agencies participating in County programs; may act as liaison with other agency/department representatives regarding billing program activities.

6. Supervises or is personally responsible for a complex billing, collection or statistical record-keeping operation which may involve careful and detailed auditing of program claims, billing documents, and hospital charge data.

7. Collects, organizes, and summarizes statistical data and maintains specialized records in connection with the various billing programs.

8. Prepares or supervises the preparation of standard statistical statements, reports, and analysis as required; maintains ancillary files and records; and performs general clerical duties as required.

Either I

The equivalent of one year of experience in the class of Billing Technician II or in an equivalent or higher level clerical class in the Alameda County classified service. (Non-classified includes District Attorney’s Office, Hospital Authority, and the Consolidated Courts.)


The equivalent of three years of full-time experience performing medical billing or medical accounts receivable functions; the equivalent of at least one year of which must have been in a supervisory or lead capacity.

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 insurance.
• The purposes, methods, and practices of billing, accounts receivable, and collection.
• Modern office methods and equipment.
• Principles of supervision.

Ability to:

• Prepare financial reports and maintain ledgers and journals.
• Interpret billing policies and procedures for various programs.
• Independently varied responsible billing assignments.
• Supervise and direct the functions of a small work unit.

Old document: TT:lfm
Revised: 2/82
Retyped: 1/85
Updated: 3/88
New document: Jobspecs/1493


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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