Patient Accounts Supervisor (1663) - Dept. of Public Health - (163395)

City and County of San Francisco • San Francisco, CA

15d

About The Position

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.

Requirements

• 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)

Nice To Haves

• 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.

Responsibilities

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed