Manager of Patient Financial Services (#RM0205)
$50.99-$61.98 Hourly / $8,838.24-$10,742.93 Monthly / $106,058.91-$128,915.27 Yearly


Under general direction, performs responsible managerial and administrative work by planning, organizing, coordinating, staffing and directing a wide range of patient billing, collections and other Business Office activities at San Joaquin General Hospital; assists with and helps coordinate various patient financial services in the Department of Health Care Services; and does related or other work as required in accordance with Rule 3, Section 3 of the Civil Service Rules.


An incumbent in this single position, management-level class has significant responsibility for contributing to the overall revenue cycle for San Joaquin General Hospital by assuring that billing, collections and other Business Office activities are performed in an efficient, effective and appropriate manner. The incumbent may also serve as a resource to other Health Care Services divisions by helping to coordinate and evaluate revenue processes and maximize reimbursements/cash flow.


  • Plans, organizes, coordinates, staffs and directs the clerical, technical and administrative work of the Business Office; through subordinate supervisors, provides appropriate guidance and administrative expertise to staff performing various patient billing, credit/collections, and related services; develops workload and productivity standards; assures that Business Office activities are performed in a manner that meets organizational needs while maintaining positive customer service and patient satisfaction.
  • Assures adequate and appropriate Business Office staffing; selects, assigns, trains and evaluates subordinate personnel; takes appropriate action on disciplinary matters; verifies and assures staff proficiency; ensures that staff development needs are met and directs training and education activities as required; manages Office personnel and policy-related issues.
  • Develops and implements goals, policies, strategies, and procedures for the effective and efficient management of activities in the Business Office and other areas of assignment; develops and implements action plans when changes are needed; coordinates and cooperates with other Health Care Services managers/staff, insurance providers, outside agencies, and others as needed to maximize revenues, cash flow, and billing compliance while minimizing accounts receivable days, bad debts, and write offs.
  • Develops and implements quality control and quality improvement programs for the Business Office and other assigned areas; monitors work in progress as well as completed work to verify accuracy and efficiency; reviews, analyzes and interprets various complex reports and documents to evaluate and improve activities in assigned areas and ensure compliance with federal, state and other regulations; responds to complaints and seeks appropriate remedies.
  • Prepares and administers the Business Office budget(s); monitors, evaluates and authorizes expenditures; oversees procurement of outside services as needed and coordinates with outside vendors as required to facilitate reimbursement; analyzes the cost/benefit of utilizing new procedures, products and/or equipment; plans and estimates future costs, including capital expenditures; justifies requests for equipment and personnel.
  • Assures appropriate utilization of information technology and related tools to support assigned operations; participates in the planning, development and testing of new and/or upgraded computerized revenue cycle systems.
  • Oversees the preparation and maintenance of various records and reports; resolves patient account discrepancies and negotiates settlements within limits of authority; assures that necessary communication of patient information is done appropriately and confidentially.
  • Represents the Health Care Services agency to individuals and groups as assigned; attends meetings and conferences and participates on committees as assigned.


Pattern I            

Experience:  Two (2) years as an Assistant Manager of Patient Financial Services in San Joaquin County.

OR Pattern II              

Education:  Graduation from an accredited four-year college or university with a major in business or public administration, accounting, economics, finance, mathematics, health science or a closely related field.

Experience:  Four years of supervisory experience in a health care setting within the last five (5) years including at least one year of direct Hospital Business Office experience supervising billing and follow up for at least three of the following payers – Medicare, Medi-Cal, Commercial and Contract Insurance, Third Party Liability  and Self Pay collections.

Substitution #1:  Additional qualifying supervisory experience within the last seven (7) years may substitute for the education on a year-for-year basis to a maximum of two (2) years.

Substitution #2:  A master’s degree in any of the above academic areas may substitute for one year of the required (non-hospital business office) experience.


Principles and practices of management, supervision and administration; principles and practices of quality control, budgeting and fiscal analysis in a health care business setting; general hospital business practices and procedures; advanced principles, methods, materials, techniques, and terminology related to health care services billing/collections; state and federal regulations related to the health care billing and reimbursement process; current Medicare, Medicaid and insurance billing/collections practices; current standards and requirements for medical bill coding; medical CDM management; medical managed care practices; accreditation standards for hospital business office activities; revenue cycle computer information and reporting systems; data analysis and report writing techniques.


Manage the revenue cycle activities of a hospital business office; supervise staff in the performance of supervisory, paraprofessional, technical, and clerical hospital billing, collections and related work; interpret complex health care billing regulations and ensure compliance with such regulations; develop and administer budgets and perform related general management activities; establish and maintain effective working relationships with third party payers, physicians, health care managers, patients, and others; work cooperatively with others; influence positive process changes; utilize complex information technology to maximize the efficiency and quality of revenue cycle activities; analyze and interpret complex data and draw logical conclusions to develop and address revenue cycle operational processes; communicate effectively, orally and in writing.


Mobility-Frequent operation of a data entry device; frequent sitting, standing, and walking for long periods; occasional driving, climbing stairs, pushing, pulling, bending, and squatting; Lifting-Ability to occasionally lift up to 15 pounds; Vision-Constant reading and close-up work and good overall vision; frequent eye/hand coordination; occasional color/depth perception and peripheral vision; Dexterity-Frequent holding, grasping and writing; occasional reaching and repetitive motion; Hearing/Talking-Constant hearing normal speech, talking in person and on the telephone; occasional hearing faint sounds; Emotional/Psychological-Constant public contact, decision making and concentration; frequent working alone and exposure to trauma, grief and death; Special Requirements-May occasionally work weekends/nights; may be required to travel; Environmental-Occasional exposure to noise, emergency situations.

San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.

CLASS: RM0205; EST: 10/13/2004; REV: 7/11/2012;