Patient Accounts Supervisor (1663) - Dept. of Public ...

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.u00a0 This is a Position-Based Test conductedu00a0in accordance withu00a0CSC Rule 111A. Learn more about the Cityu2019s hiring process here:u00a0 + Application Opening:Friday, February 13, 2026u00a0 + Application Deadline: Application filing will close on or after Friday, Februaryu00a027, 2026 + Salary:$106,054 - $128,960 ( Annually + Appointment Type: Permanent Civil Service ( + Recruitment ID:PBT-1663-163395 Becoming au00a0Cityu00a0employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for theu00a0City,u00a0youu2019reu00a0choosing a job with purpose.u00a0 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 multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the Cityu2019s only complete system of care and has locations throughout theu00a0City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Servicesu00a0operatesu00a0in conjunction with SFHN andu00a0providesu00a0a range of mental health and substance use treatment services.u00a0u00a0 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 Cityu2019s 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 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. 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 oru00a0insured; 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. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. 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). DESIRABLE QUALIFICATIONS:u00a0The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring. + Two (2) yearsu2019 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. Verification of Education and Experience:u00a0 Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Reviewu00a0SF Careers Employmentu00a0Applications (Applications and Minimum Qualifications) u00a0for considerations taken when reviewing applications.u00a0u00a0 Applicants mayu00a0be requiredu00a0tou00a0submitu00a0verification of qualifying education and experience at any point during the recruitment and selection process. If educationu00a0or experienceu00a0verification isu00a0required, information on how to verify educationu00a0and experienceu00a0requirements, including verifying foreign education credits or degree equivalency, can be found atu00a0 Note:u00a0Falsifying oneu2019s 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.u00a0 Selection Procedures: After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following. Supplemental Questionnaire Examination (Weight: 100%): The supplemental questionnaire examu00a0is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to:u00a0 + 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 theu00a0Supplemental 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.u00a0 Additionalu00a0selection processes may be conducted by the hiring department prior to making final hiring decisions.u00a0 Certificationu00a0 The certification rule for the eligible list resulting from this examination will be theRule of 10Scores.u00a0 Eligible List/Score Report:u00a0 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 beu00a0established, so applicants can view the ranks, finalu00a0scoresu00a0and 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, uponu00a0request, onceu00a0the eligible list is exhausted or expired and referralsu00a0resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g.,u00a0as a result ofu00a0appeals), as directed by the Human Resources Director or the Civil Service Commission.u00a0 The duration of the eligible list resulting from this examination process will be ofu00a06 monthsu00a0and may be extended with the approval of the Human Resources Director.u00a0 To find Departments which use this classification, please see the cityu2019su00a0 (Position Counts by Job Codes and Departments.u00a0u00a0 Terms of Announcement and Appeal Rights:u00a0 Applicants must be guided solely by the provisions of this announcement, including requirements, timeu00a0periodsu00a0and other particulars, except when superseded by federal,u00a0stateu00a0or local laws,u00a0rulesu00a0or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website atu00a0 The terms of this announcement may beu00a0appealedu00a0under Civil Service Rule 111A.35.1. The standard for the review of such appeals is u2018abuse of discretionu2019 or u2018no rationalu00a0basisu2019u00a0foru00a0establishingu00a0the position description, the minimumu00a0qualificationsu00a0and/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 beu00a0submittedu00a0directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.u00a0 Additional Information Regarding Employment with the City and County of San Francisco:u00a0 + Information About the Hiring Process ( + Conviction History + Employee Benefits Overview (u00a0 + Equal Employment Opportunity ( + Disaster Service Worker + ADA Accommodation ( + Veterans Preference + Seniority Credit in Promotional Exams + Right to Work (to Work) + Copies of Application Documents + Diversity Statement (more-,Diversity Statement,-The City and) Where to Applyu00a0 All job applications for the City and County of San Francisco must beu00a0submittedu00a0through our online portal. Please visitu00a0begin your application process.u00a0u00a0 Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account.u00a0 Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at theu00a0City Career Center at City Hall (, 1 Dr. Carlton B. Goodlett Place, Room 110.u00a0 Ensure your application information isu00a0accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues.u00a0 Applicants will receive a confirmation email fromu00a0that their online application has been received in response to every announcement for which they file. Applicants shouldu00a0retainu00a0this confirmation email for their records.u00a0Failure to receive this email means that the online application was notu00a0submittedu00a0or received.u00a0 If you have any questions regarding this recruitment or application process, please contact the analyst, Herbert Chau at or (628) 271-6707.u00a0 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. POSITION #:u00a001089504 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.

Created: 2026-02-16