Patient Accounts Supervisor (1663) - Dept. of Public Health - (163395) — San Francisco, CA

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 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 or 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/reporting;
• 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 - Required

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.

DESIRABLE QUALIFICATIONS: The stated desirable qualifications may be considered 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 follow-up/ 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, MS Office.
• 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.

Selection Procedures:

Supplemental Questionnaire Examination (Weight: 100%):

The supplemental questionnaire exam 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
• Knowledge of the basic principles of accounts receivable, accounts payable, adjustment posting
• 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 HIPAA transactions and code sets
• 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
• Written Communication
• Oral Communication
• Computer Skills
• Skill in identifying pertinent legal references to interpret legal procedures involved in the collection of present liens on file

Candidates must achieve a passing score on the Supplemental Questionnaire exam to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.

Certification

The certification rule for the eligible list resulting from this examination will be the Rule of 10 Scores.

Eligible List/Score Report:

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

• Information About the Hiring Process
• Conviction History
• Employee Benefits Overview
• Equal Employment Opportunity
• Disaster Service Worker
• ADA Accommodation
• Veterans Preference
• Seniority Credit in Promotional Exams
• Right to Work
• Copies of Application Documents
• Diversity Statement

Where to Apply

If you have any questions regarding this recruitment or application process, please contact the analyst, Herbert Chau at herbert.chau@sfdph.org or (628) 271-6707.

POSITION #: 01089504