Patient Accounts Supervisor (1663) - Dept. Public Health - (121505)

  • Full-time
  • Certification Rule: Rule of 3
  • Exam Type: Position Based Test
  • Work Hours: Regular
  • Job Code and Title: 1663-Patient Accounts Supervisor
  • Fill Type: Permanent Civil Service
  • Eligible List Type: Combined Promotive and Entrance

Company Description

This is a Position-Based Test conducted in accordance with Civil Service Rule 111A.The Department of Public Health is accepting applications for 1663 Patient Accounts Supervisor.

  • Application Opening: Tuesday, May 10, 2022
  • Application Deadline: Amended - Wednesday, August 3, 2022
  • Compensation: $94,900.00-$115,362.00 Yearly
  • Appointment Type: Permanent Civil Service
  • Exam Type: CPE
  • Recruitment ID: PBT-1663-121505
  • Employment Type: Full-Time

Positions are located throughout the Department of Public Health.

Note: The eligible list resulting from this recruitment may be used to fill future vacancies in this class at other locations within the Department of Public Health.

HOW TO APPLY

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

Select the “I’m Interested” button and follow instructions on the screen.

Applicants may be contacted by email about this recruitment 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, @smartalerts.info, @smartrecruiters.com, and @careers.sf.gov).

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.  

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 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.

Qualifications

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.

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications listed above. Applications that do not appear to meet the minimum qualifications will not move forward in the recruitment process.

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 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.
  • 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.

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.

Resumes will not be accepted in lieu of a completed City and County of San Francisco application. Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

SELECTION PROCEDURES

Minimum Qualification Supplemental Questionnaire (MQSQ) (Weight: Qualifying): Candidates will be required to complete a 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.

Supplemental Questionnaire (Weight: 100%): Qualified candidates will be emailed a supplemental questionnaire exam that must be completed by the set date. Candidates will be evaluated on their relative knowledge, skill, and ability levels 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. A passing score must be achieved on the Supplemental Questionnaire in order to be placed/ranked on the Eligible List. Candidate responses on the Supplemental Questionnaire cannot be changed once submitted. Candidates will be placed in rank order according to their final score on the Supplemental Questionnaire.

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 of six (6) months and may be extended with the approval of the Human Resources Director.

Certification: The certification rule used for the eligible list resulting from this selection procedure will be Rule of Three (3) Scores. Additional position-specific selection mechanisms may be conducted by the hiring department prior to making final hiring decisions.

Additional Information

Terms of Announcement and Appeal Rights: 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.

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.

Licensure/Certification/Registration: Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout length of employment. Failure to demonstrate/show proof of possession of required valid licensure/certification/registration may result in dismissal and/or termination of employment.

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.

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., weakens the seal between 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.

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. Medical Examination Information

Additional Information Regarding Employment with the City and County of San Francisco:

If you have any questions regarding this recruitment or application process, please contact Herbert Chau at [email protected] or (415) 554-2911.

Commitment to providing first-class care and service to all members of the DPH service population, with heightened sensitivity and awareness to racial, ethnic, and culturally diverse members of the DPH’s workforce and patient populations.

Desire and commitment to lead and participate in antiracism, racial justice, and equity work that impacts quality of patient care, and improvements in employee experiences; along with the commitment and fortitude to push and drive change in these areas.

Desire to work with, relate to, serve, and support a diverse workforce and patient population.

Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

All of your information will be kept confidential according to EEO guidelines.

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.

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