Patient Accounts Assistant Supervisor (1662) – Dept. Public Health

at City and County of San Francisco
Published August 5, 2022
Location San Francisco, CA
Category Default  
Job Type Full-time  


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 1662 Patient Accounts Supervisor.

  • Application Opening: Tuesday, July 26, 2022
  • Application Deadline: Continuous - May close at any time but no sooner than Tuesday, August 8, 2022
  • Compensation: $83,200.00-$101,192.00 Yearly
  • Appointment Type: Permanent Civil Service
  • Exam Type: CPE
  • Recruitment ID: PBT-1662-124552
  • Employment Type: Full-Time
  • Shift: Monday - Friday

Positions are located in Laguna Honda Hospital and Rehabilitation Center (LHH) and 1380 Howard St.

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.


Applications for City and County of San Francisco jobs are only accepted through an online process. Visit 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 [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé], [Click Here to Email Your Resumé]fo, [Click Here to Email Your Resumé], and [Click Here to Email Your Resumé]).

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 general supervision, supervises a unit involved in processing health care claims for reimbursement: monitors accounts, bills and reports; interprets, implements and enforces policies and procedures; traces and adjusts bills; assists patients and third party payors; assists the Patient Accounts Supervisor and performs related duties as required.

Examples of essential duties of this position include but are not limited to:

  • Provides immediate supervision to a staff involved in processing claims for reimbursement; reviews work of subordinates for complete documentation as required for claims processing; resolves problems in cases assigned to unit; performs related duties such as preparing, employee production reports and timerolls and screening and distributing mail;
  • Using computer reports to identify problem areas, monitors accounts assigned to billing clerks in order to ascertain timely processing; monitors patient accounts transferred from other hospitals; monitors pending Medi-Cal bills for completeness; monitors exception report printout listing accounts in pre-billing stage for correct coding;
  • Assists in implementing new procedures when State and Federal laws governing reimbursement changes interprets relevant Medi-Cal and Medicare regulations; enforces existing business office procedures for claims processing;
  • Traces Medi-Cal reports by analyzing and researching denials of reimbursement either personally or through assignment to subordinates; uses tracer report to verify reasons for unpaid bills; uses restricted access to terminals to make billing adjustments; researches private insurance claims for missing information;
  • Assists patients with forms and questions; assists in all incoming calls or correspondence relating to third party payor inquiries; contacts patients or Department of Social Services for verification of Medi-Cal status contacts auxiliary departments concerning problems involving documentation required for billing; and
  • Handles Patient Accounts Supervisor's responsibilities in his or her absences assists supervisor in preparing reports for annual audit.

The 1662 Patient Accounts Assistant Supervisor also performs other related duties as required.



Experience: Two (2) 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.

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 may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.

  • Thorough knowledge of medical claims processing procedures, including Medicare, Medicaid and insurance billing rules and requirements.
  • Knowledge of the basic principles of accounts receivables, including payments posting, adjustments and error corrections processing.
  • Experience working with HIPAA electronic transactions and formats, including: 837, 835, 834, 820, 276, and 277 and standard code sets such as ICD-10, HCPCS Level 1 and Level 2, etc.
  • Ability to explain complex policies and procedures to a wide variety of people, such as Clinic staff and patients.
  • Ability to apply billing and collections methods and procedures.
  • Ability to supervise the work of subordinate staff.

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

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.


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 medical claims processing procedures, including complex Federal Medicare, State Medicaid/Medi-Cal and Universal Billing Forms regulations applicable to hospital and mental health billing; Knowledge of the basic principles of accounts receivable, including posting of payments and application of adjustments; Knowledge of the basic principles of electronic data processing; Knowledge of billing and collections methods and procedures; Supervision; Interpersonal/ Collaborative Ability; Oral Communication; Computer Ability, which includes computer and software use; 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 twelve (12) 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 Ten (10) 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

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:

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

If you have any questions regarding this recruitment or application process, please contact Herbert Chau at [Click Here to Email Your Resumé] 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.

Drop files here browse files ...