The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

• Application Opening – Friday, May 10, 2024

• Application Deadline – The application filing will be open continuously at least through Friday, May 17, 2024 and will close any time thereafter.

• Salary: $113,958 - $138,424 (https://careers.sf.gov/classifications/?classCode=1664) Annually

• Appointment Type: Permanent Civil Service (https://careers.sf.gov/knowledge/role-types/)

• Recruitment ID: PBT-1664-142157

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

The San Francisco Department of Public Health (DPH) is accepting applications in class 1664 Patient Accounts Manager. The Patient Accounts Manager is an integral part of the Patient Accounts Financial Services Department located at Laguna Honda Hospital and Rehabilitation Center (LHH).

The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list.

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

• Through subordinate supervisory personnel, administers the staff and activities within the Billing, Claims and/ or Collections department;

• Coordinates activities of the various units, including patient accounts billing, claims processing, payment collections, data entry and control;

• Maximizes staff productivity by assigning duties, makes recommendations concerning employee status. Plans and implements the staff development program;

• Develops, interprets, coordinates, and enforces policies, methods, and procedures. Conducts staff meetings for the purpose of evaluating and disseminating information about departmental policies and procedures;

• Performs various administrative duties such as preparing input for the annual budget request, investigating complaints about services, attending meetings to exchange information and for plan procedures;

• Reviews and interprets computer-produced reports, daily statistical data, census/discharge reports and accounts receivable records;

• Prepares monthly revenue analysis related to claims submission volume and trends based on claim type and/or payer, including unbilled inventory;

• Coordinates, electronic data processing, billings, and collections and data submitted by departments providing medical services, administers the collecting, editing transmission and controls over data required for electronic claim submission; and

• Monitors, interprets, and implements billing regulations and provider updates related to Medicare and Medi-Cal.

The 1664 Patients Accounts Manager also performs other related duties as required.

Minimum Qualifications - Required

EXPERIENCE: Five (5) years of experience billing, claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance, third party payors, and individual payors in a hospital healthcare agency or healthcare billing organization of which three (3) years must be in a supervising capacity.

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

One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).

DESIRABLE QUALIFICATIONS: The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring: 

• Excellent skills in writing and preparing correspondence, reports and financial records.

• Experience working with various computerized systems such as: EPIC, EXPERIAN, Craneware and Medi-Care DDE.

• Experience with electronic billing systems, preferably a hospital focused billing system.

• Communicates in a professional and effective manner with a variety of people, to explain complex policies and resolve complaints.

• Knowledge of Federally Qualified Health Center (FQHC) rules and regulations related to billing and reimbursement requirements.

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Selection Procedures:

After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Minimum Qualification Supplemental Questionnaire (MQSQ) (Weight: Qualifying): Candidates will be required to complete an MQSQ as part of the employment application. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications.

Assessment Component

Candidates that meet the minimum qualifications will be invited to participate in Supplemental Questionnaire 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 complex federal Medicare, state Medi-Cal and private insurance regulations applicable to hospital and specialty healthcare services billing; Knowledge of the basic principles of accounts receivable, including posting payments and adjustments to accounts and reconciling receipts and payments; Knowledge of billing and collections methods and procedures (e.g. sequential billing priorities based upon a patient's type of coverage or healthcare benefits); Knowledge of HIPPA transactions and code sets, CMS 1500 claims; Knowledge of electronic data processing methods, principles, and procedures, which includes appropriate formats for submission of data to the EDP or other Units/Agencies; Ability to plan, formulate, develop, and execute policies for the Billing, Claims, and/or Collections Department of a medical facility or healthcare agency; Ability to understand and apply methods and procedures appropriate to the field of healthcare billing and collections; Supervision Ability; Interpersonal/Collaborative Ability; and Computer and Electronic Data Processing Ability.

Supplemental Questionnaire Examination (Weight: 100%): Candidates must achieve a passing score on the Supplemental Questionnaire exam in order to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Certification

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

Eligible List/Score Report:

Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit https://careers.sf.gov/knowledge/process/

The duration of the eligible list resulting from this examination process will be 12 months and may be extended with the approval of the Human Resources Director.

How to apply:

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. 

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. 

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 

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.

Terms of Announcement and Appeal Rights:

This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

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 https://careers.sf.gov/. 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. 

DPH Health Critical Requirements and Information: (https://www.sfdph.org/dph/comupg/aboutdph/jobs/requirements.asp) Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

• COVID-19 Policies (https://www.sfdph.org/dph/comupg/aboutdph/jobs/requirements.asp)  

• Personal Protective Equipment (PPE) (https://www.sfdph.org/dph/comupg/aboutdph/jobs/requirements.asp)

• Medical Examination Prior to Hiring

• Electronic Health Record (EHR)

• Licensure/Certification/Registration (https://www.sfdph.org/dph/comupg/aboutdph/jobs/requirements.asp)

• Note on ICARE 

Additional information regarding Employment with the City and County of San Francisco: 

• Information about the Hiring Process (https://sfdhr.org/information-about-hiring-process)  

• Conviction History (https://sfdhr.org/conviction-history-faq)  

• Employee Benefits Overview (https://sfdhr.org/benefits-overview)  

• Equal Employment Opportunity (https://sfdhr.org/equal-employment-opportunity)  

• Disaster Service Workers (https://sfdhr.org/disaster-service-workers)

• Reasonable Accommodation

• Right to Work (https://sfdhr.org/information-about-hiring-process#identification)

• Copies of Application Documents

• Diversity Statement (https://sfdhr.org/information-about-hiring-process#diversitystatement)

• Veterans Preference

• Seniority Credit in Promotional Exams (https://sfdhr.org/information-about-hiring-process#senioritycredit)

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. 

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.