1663 Patient Accounts Supervisor

Recruitment #PBT-1663-112483

Introduction

*ANNOUNCEMENT UPDATED 7/28/2021 TO REFLECT NEW CONDITION OF EMPLOYMENT*

 

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be vaccinated against COVID-19 as a condition of employment.  For details on how it is applicable to your employment, please click here.

CLASS 1663 PATIENT ACCOUNTS SUPERVISOR

JOB DESCRIPTION:

Under direction, the Patient Accounts Supervisor assigns, supervises and reviews the work of staff engaged in the billing, claims processing, collections and/or posting of reimbursements and payments of services rendered by the San Francisco Department of Public Health (DPH). The essential job duties include, but are not limited to:  

  • Assigns, supervises and reviews the work of subordinate personnel engaged in the processing of healthcare medical claims and/or the collection of patient accounts including handling patient complaints regarding billing;
  • Interprets, implements, and enforces policies and procedures related to billing, collections, adjustments and cash posting, which may include Medicare, Medi-Cal and other state and federal payer regulations;    
  • Coordinates procedures with other divisions within the Department of Public Health, other City and County departments and contractor agencies, including the Bureau of Delinquent Revenue of the Tax Collector's Office; refers accounts to and furnishes the Bureau of Delinquent Revenue with information regarding delinquent accounts;
  • Supervises the processing of bills necessary to comply with subpoenas and the obtaining of assignment of benefits for patients so insured; corresponds with attorneys in connection with the payment of bills;
  • Maintains and reviews records and reports such as audit trails for federal and state auditors, California Hospital Facilities Commission reports, monthly reports of accounts receivable, cost reports and other financial records;
  • Establishes audit and control procedures as a part of a data collection system for service charges; works with systems analysts in order to correct any detailed problems in individual cases within the Electronic Data Processing system;
  • Attends meetings and seminars in order to keep informed of changes in billing regulations, collection procedures and Utilization Review guidelines.

   The 1663 Patient Accounts Supervisor also performs related duties as assigned.

Minimum Qualifications

Experience:
Four (4) years of experience billing, claims processing and/or collecting medical claims or healthcare service reimbursements from Medicare, Medi-Cal (Medicaid), insurance, third-party payors, and individual payors in a hospital, healthcare agency or healthcare billing organization of which two (2) years must be in a supervisory capacity .

Note: One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40 hour work week). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine full-time employment.  

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. 

Desirable Qualifications:

The stated desirable qualifications listed below may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.

  • Two (2) years experience utilizing a computerized billing system, financial spreadsheet, database, and word processing.
  • Supervisory experience in a Hospital, Healthcare Provider Agency or an Organized Healthcare Delivery System with All Payer Billing (Medicare, Medi-Cal, Commercial) and Insurance followup/ collections.
  • Strong knowledge of Healthcare Financial Administration (HCFA): Medicare, Medi-Cal and Commercial regulations regarding Billing and Insurance reimbursements.
  • Experience supervising a minimum of five (5) full time employees in a healthcare accounts receivable setting.
  • Working experience with computerized systems such as: Epic, Experian, Fiscal Intermediary Direct Data Entry (DDE), Cal-Meds.
  • Knowledge of electronic HIPAA transactions such as, 837 Claims /Encounters, 835 EOB/ Remittance Advice, 834 Benefit Enrollments, Updates and Terminations, 276 Claim Status Inquiry, and 277 Claim Status Responses; and, Standard Code sets, including:  ICD-10 and HCPCS codes.
  • Willingness to uphold/abide by ZSFG’s ICARE (I-Introduce, C-Connect, A-Ask, R-Respond, E-Exit) philosophy for employee and patient interactions: https://zuckerbergsanfranciscogeneral.org/about-us/

Verification:
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at
https://sfdhr.org/how-verify-education-requirements

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.

  • Select the desired job announcement
  • Select “Apply” and read and acknowledge the information
  • Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
  • Follow instructions on the screen

In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice.  As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement.  

Applicants may be contacted by email about this announcement and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date.  Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter.  To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu).

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file.  Applicants should retain this confirmation email for their records.  Failure to receive this email means that the online application was not submitted or received.

All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline.  Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.

Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

If you have any questions regarding this recruitment or application process, please contact the exam analyst, Lillian Louie, by email at Lillian.Louie@sfdph.org

 

Selection Procedures

Minimum Qualification Supplemental Questionnaire (Weight: Qualifying):

Candidates will be prompted to complete a Supplemental Questionnaire as part of the online employment application. This Minimum Qualification Supplemental Questionnaire is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position. Applicants must also complete the official application. It is essential that applicants provide complete information in identifying their education, experience and training. The Minimum Qualification Supplemental Questionnaire will be used to evaluate if the applicant possesses the required minimum qualifications.

Supplemental Questionnaire Exam (Weight: 100%)

Candidates who meet the minimum qualifications will be emailed a Supplemental Questionnaire (SQ) Exam that is designed to measure the knowledge, skills and abilities in job related areas which may include, but not be limited to: Knowledge of Medicare, Medi-Cal, health insurance plans, and other state and federal regulations concerning reimbursement at the level of training subordinates in this area; Ability to make proper interpretations of Medicare, Medi-Cal, health insurance plans and other state and federal regulations concerning reimbursement; Ability to plan, review and supervise the work of subordinates engaged in health care billing and collections; Interpersonal Relations; Knowledge of the basic principles of accounts receivable, accounts payable, adjustment posting; and/or knowledge of the basic principles of Electronic Data Processing and applying it to a large facility with a high volume and variety of data; Knowledge of HIPAA transactions and code sets; Skill in identifying pertinent legal references to interpret legal procedures involved in the collection of present liens on file; and/or Written Communication.  

The SQ will be emailed to the address listed on the candidate’s online application. Candidates will be required to respond to the SQ in the time frame indicated and must submit the completed questionnaire as directed in order to have it evaluated. Responses cannot be changed once submitted. Candidates will be evaluated based on their SQ responses. Candidates must achieve a passing score on the SQ in order to continue in the recruitment process and will be placed on the confidential eligible list in rank order according to their final score. A passing score must be achieved on the Supplemental Questionnaire in order to be included on the confidential eligible list.

After the confidential eligible list is adopted the department may administered additional selection procedures to make a final hiring decision.

Eligible List/Score Report:
A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be six (6) months, and may be extended with the approval of the Human Resources Director.

Upon approval of the Human Resource Director (see Civil Service Rule 111A.26.5), the eligible list/score report resulting from this announcement may be used by other departments that also use this classification or a similar classification. To find other Departments which use this classification, please see https://sfdhr.org/sites/default/files/documents/Forms-Documents/Position-Count-by-Job-Codes.pdf.

Certification:
The certification rule for the eligible list resulting from this examination will be Rule of Three Scores.  Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Conviction History

As a selected candidate for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a selected candidate. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:

  • Candidates for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.
  • Candidates for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.

Having a conviction history does not automatically preclude you from a job with the City.

If you are a selected candidate, the hiring department will contact you to schedule a fingerprinting appointment.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

Conclusion

General Information concerning City and County of San Francisco Employment Policies and Procedures:
Important Employment Information for the City and County of San Francisco can be obtained at http://sfdhr.org/information-about-hiring-process or hard copy at 1 South Van Ness Avenue, 4th Floor.

Copies of Application Documents:
Applicants should keep copies of all documents submitted, as these will not be returned.

Right to Work:
All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.

Requests:
Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: 
http://sfdhr.org/information-about-hiring-process#applicantswithdisabilities

Information regarding requests for Veterans Preference can be found at: 
http://sfdhr.org/information-about-hiring-process#veteranspreference

Terms of Announcement:

Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations.  Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at www.jobaps.com/sf.

The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule.  Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director.  Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

Seniority Credit in Promotional Exams: 
Information regarding seniority credit can be found at:
http://www.sfdhr.org/index.aspx?page=20#senioritycredit

Medical Examination/Drug Testing:

Prior to appointment, at the Department's expense, applicants may be required to take a tuberculosis (TB) screening test, a medical examination and/or drug test.   

Statement on Equity, Diversity, and Inclusion:

At the City and County of San Francisco, we share a commitment to a diverse, inclusive and equitable community. Each member of our organization is responsible and accountable for what they say and do to make San Francisco an inclusive and equitable place to live and work by employing fair and just practices to and for all. Prior to appointment, at the Department's expense, applicants may be required to take a tuberculosis (TB) screening test, a medical examination and/or drug test.   

Note on Electronic Health Record (EHR):

The Department of Public Health (DPH) is implementing a unified Electronic Health Record (EHR) system and DPH employees must demonstrate competency in the use of the system that is appropriate for their classification as a condition of employment.

Note on Personal Protective Equipment (PPE):

Some positions in the Department of Public Health will require the use of personal protective equipment (PPE), including but not limited to gloves, gowns, eye and face protection, and face-fitting respirators. The requirement for the use of PPE may come on short or no notice. Facial hair or any condition that interferes with a face-fitting respirator’s seal (i.e. comes between the sealing surfaces of the respirator and the wearer’s bare skin) is not permitted when face-fitting respirators are worn, including during initial or periodic respirator fit-testing. Employees who choose not to shave and do not have either American Disabilities Act (ADA) or Equal Employment Opportunity (EEO) Accommodations do not have the right to alternate work assignments or the option of using a loose-fitting Powered Air Purifying Respirator (PAPR) in place of a Face Fitting Respirator.

Exam Type:  CPE
Issued:  July 23, 2021
Carol lsen
Human Resources Director
Department of Human Resources
Recruitment ID Number: PBT-1663-112483
DPH/LL/DHR Pos Nos 01126099/1147927/01120344

Benefits

All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

For more information about benefits, please click here.

 



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