Senior Administrative Analyst

EMS Billing Analyst

Recruitment #PEX-1823-101001


About the Fire Department:

The Mission of the Fire Department is to protect the lives and property of the people of San Francisco from fires, natural disasters, and hazardous material incidents; to save lives by providing emergency medical services; to prevent fires through prevention and education programs; and to provide a work environment that values health, wellness, and cultural diversity and is free of harassment and discrimination.

Brief description of position:

Under the direction of the Department’s Deputy Director of Finance and Planning in the Fire Department’s Finance Division, this position serves as the Fire Department’s Emergency Medical Services (EMS) billing analyst.  The Fire Department receives approximately $28 million in revenues from EMS services on an annual basis.  This position is tasked with the development of the Department’s EMS annual revenue budget, as well as the monitoring, projecting, and reporting of revenues during the fiscal year.  This position is responsible for developing and preparing complex cost reports to the State and Federal governments in response to existing or in process programs for supplemental reimbursement, in addition to coordinating regular data requests from those entities.  This position also researches additional reimbursement opportunities for EMS revenues.  This position works closely with the Department’s EMS billing contractor to resolve disputes, respond to inquiries, and other related duties.

Additional duties and functions of this position: 

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.

1. Prepare annual revenue model for EMS billing for purposes of the Department’s annual budget submittal, incorporating call volume changes, and shifting payer demographics.

2. Track monthly revenue receipts, monitoring actual revenues as compared to budget.  Research any material variances between the two and provide budget summaries as needed to management staff.

3. Research and analyze the impacts of any proposed State or Federal legislative changes as they impact EMS reimbursement.

4. Develop complex cost reports for the Department’s submittal to any of the existing or proposed supplemental EMS reimbursement programs, such as Ground Emergency Medical Transport (GEMT) or Quality Assurance Fee (QAF) as administered by the State of California.

5. Gather and analyze data in order to prepare quarterly reports as required for any State or Federal supplemental reimbursement program requirements.

6. Coordinate the Request for Proposal process for the Department’s EMS billing contractor, conducting the solicitation and evaluation process, and working with appropriate staff to finalize the multi-year contract.

7. Research, analyze and make policy recommendations on various billing-related changes that are proposed.

8. Reconcile daily transmittal of patient accounts to billing company to ensure that all accounts are being transferred in order to maximize potential revenues.  Provide quarterly reports comparing the calls transmitted to those in the dispatch system.

9. Work with the Department’s EMS billing contractor to respond to patient account inquiries.  Resolve patient disputes and review current Department hardship protocols for potential waivers in line with City policies.  Respond to medical records requests as appropriate.

10. Coordinate with the City Attorney’s Office to handle all claims against the Department.

11. Perform related duties as assigned.

Minimum Qualifications

1. Possession of a graduate degree (Master's degree or higher) from an accredited college or university and three (3) years of full-time equivalent experience performing professional level analytical work as described in Note A: OR

2. Possession of a graduate degree (Master's degree or higher) from an accredited college or university with major college coursework as described in Note B and two (2) years full-time equivalent experience performing professional level analytical work as described in Note A; OR

3. Possession of a baccalaureate degree from an accredited college or university and four (4) years full-time equivalent experience performing professional level analytical work as described in Note A; OR

4. Possession of a baccalaureate degree from an accredited college or university with major college coursework as described in Note B and three (3) years full-time equivalent performing professional level analytical work as described in Note A

SUBSTITUTION: Applicants may substitute up to 2 years of the required education with additional qualifying experience in budget analysis, financial analysis and reporting, legislative/policy analysis, or contract/grant administration. One year (2000 hours) of additional qualifying experience will be considered equivalent to 30 semester units/45 quarter units.

Notes on Qualifying Experience and Education:

A. Qualifying professional-level analytical experience must be in one or more of the following functional areas: complex budget analysis, development and administration; complex financial/fiscal analysis and reporting; development of complex contracting systems and administration of competitive bid processes and complex contractual agreements; development and evaluation of complex management/administrative policy; complex grant administration and monitoring; complex program evaluation and planning; complex legislative analysis; complex economic analysis; or other functional areas related to the duties of positions in Class 1823, where the primary focus of the job is complex professional-level analysis for evaluation, recommendation, development and implementation of major programs and functions of department/organization. Analytical experience equivalent to the duties of Class 1822 is considered qualifying.

B. Coursework applicable to a baccalaureate or higher degree in specialized subject matter areas such as public or business administration, management, business law, contract law, public policy, urban studies, economics, statistical analysis, finance, accounting or other fields of study closely related to the essential functions of positions in Class 1823.


Desirable Qualifications:

  • Analytical skills that allow for interpretation of budgetary, financial, and related policy information
  • Excellent written and verbal communications skills to draft professional reports and correspondence, as well as make presentations
  • Strong research and synthesizing skills
  • Excellent interpersonal skills to work cooperatively and professionally with individuals at all levels of the Department, in addition to representatives from other City agencies, as well as the public
  • Billing experience in the hospital or ambulance fields
  • Experience developing complex cost reports
  • Ability to work independently and be able to manage multiple projects simultaneously, accounting for varying levels of priority for the projects
  • Strong organizational and project management skills
  • Experience utilizing word processing programs, spreadsheet, and communication software.

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit to register an account (if you have not already done so) and begin the application process.

  • Select the desired job announcement
  • Select “Apply” and read and acknowledge the information
  • Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
  • Follow instructions on the screen

Computers are available for the public (from 8:00 a.m. to 5:00 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, San Francisco.

Applicants may be contacted by email about this announcement 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 (,,,,,,,,,,

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.

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.

Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

If you have any questions regarding this recruitment or application process, please contact the exam analyst, Jesusa Bushong, by email at


Selection Procedures

Application materials [CCSF application and resume] will be screened to determine that applicants meet the minimum qualifications to advance in the selection process. Each qualified applicant's application will be reviewed by subject matter experts with regard to how well the applicant's experience matches the requirements of the position. Those candidates whose experience is determined to most closely match the requirements of the position will be invited to advance to an 9ral interview and/or performance exam. Possession of the minimum qualifications does not guarantee advancement in the selection process, and the decision of the screening committee is final.

Conviction History

As a selected candidate for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a selected candidate. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:

  • Candidates for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.
  • Candidates for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.

Having a conviction history does not automatically preclude you from a job with the City.

If you are a selected candidate, the hiring department will contact you to schedule a fingerprinting appointment.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.


All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

For more information about benefits, please click here.


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