County of Alameda

Senior Billing Technician (#1494)

Bargaining Unit: ACMEA - General Mgmt (R15)
$31.32-$38.20 Hourly / $2,505.60-$3,056.00 BiWeekly /
$5,428.80-$6,621.33 Monthly / $65,145.60-$79,456.00 Yearly

Under general direction, to supervise and direct a billing operation or a segment of a large billing operation; to develop, coordinate and implement operational procedures and guidelines for billing department; and to perform related duties as required.


Positions in this class are found in the Health Care Services Agency. Incumbents act as first-line supervisors for a unit of Billing Technicians and support staff. Incumbents may also be responsible for evaluating and implementing program-wide procedural changes as well as supervise inpatient and outpatient billing operations. Senior Billing Technicians are distinguished from the next lower level class of Billing Technician III in that the former class has full supervisory responsibility/authority for Billing Technicians and support staff, including performance evaluations, interviewing and selecting employees, scheduling, and initiating disciplinary actions as well as responsibility for evaluating and implementing program wide procedural changes.

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. Plans, supervises, and directs the activities of a unit of Billing Technicians involved in posting, adjusting, and balancing patient and program accounts.

2. Interviews and selects or assists in the selection of employees; assumes responsibility for the training of employees; assigns and schedules employees; writes performance evaluations; initiates disciplinary action when appropriate.

3. Interprets new policies and procedures and explains them to staff; assists departmental management in the planning and evaluation of billing activities; provides input on impact of operational changes; acts as technical resource in billing/claiming matters.

4. Prepares a variety of management reports showing statistics and activity for a given period.

5. Acts as liaison with other departments regarding billing procedures and system requirements; attends interdepartmental meetings and planning sessions.

6. Personally performs or supervises the computation/compilation of the most complex billing accounts.

7. Develops operational procedures and guidelines in accordance with the current rules and regulations of state, federal and intermediary agencies; devises methods of implementing procedures; advises hospital departments, billing supervisors and administration of procedural changes and revisions; updates manuals and bulletins.

8. May act as liaison with the State or regulatory agencies; may coordinate billing functions of outlying or clinics, etc.

Either I

The equivalent of one year of full-time experience in the class of Billing Technician III in the Alameda County classified service. (Non-classified includes District Attorney’s Office, Hospital Authority, and the Consolidated Courts.)


The equivalent of two years’ full-time experience in the class of Billing Technician II in the Alameda County classified service (non-classified includes District Attorney’s Office, Hospital Authority, and the Consolidated Courts), AND

Completion of at least two courses in principles of supervision or management.


The equivalent of three years of full-time, increasingly responsible financial record-keeping experience, two years of which were comparable in level to duties and responsibilities of a Billing Technician III in the Alameda County classified service. (Non-classified includes District Attorney’s Office, Hospital Authority, and the Consolidated Courts.)

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:

• Principles of supervision and training; billing procedures for financial reimbursement.
• General bookkeeping, accounting, and auditing procedures and practices.
• Modern office methods and equipment.

Ability to:

• Understand and interpret the principles, laws, and procedures involved in the billing and bookkeeping functions of the County.
• Communicate orally and in writing.
• Understand computer database and communication systems (i.e. Excel, Access and Outlook).
• Make decisions.
• Analyze and problem solve.
• Plan and organize.
• Perform budget analysis.
• Demonstrate management control.
• Provide leadership.

Old doc: Revised: 3/2/82
TT:lfm Revised: 4/84
TMZ:pb Revised: 12/30/88
TMZ:pb Updated: 9/89
New doc: 1494.doc
CSC Date: 2/1/89
TE:pf Revised 11-18-05
CSC Date: 3/15/2006


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)
  • Accidental Death and Dismemberment Insurance 
  • 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

  • 11 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Management Paid Leave**
  • 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.

** Non-exempt management employees are entitled to up to three days of management paid leave. Exempt management employees are entitled to up to seven days of management paid leave.