1636 Health Care Billing Clerk 2

Recruitment #TEX-1636-904424

Introduction

 

The Department of Human Resources Workers' Compensation Division is seeking a 1636 – Healthcare Billing Clerk II to work collaboratively within a small team to oversee the financial administration of the City and County of San Francisco’s self-insured, self-administered workers’ compensation program.

Appointment Type

This is a full-time, temporary- exempt (TEX) position limited in duration to 1040 hours, and serves at the discretion of the appointing officer.

NOTE: there is a currently open Citywide Examination for the 1636 Health Billing Clerk 2. View the job announcement using the link below:

Class Based Test 1636 Health Care Billing Clerk exam (https://www.jobapscloud.com/SF/sup/BulPreview.asp?R1=CBT&R2=1636&R3=109839).


Overview of the Workers’ Compensation Division – Finance and Information Systems Team
Workers' Compensation provides benefits to employees who are injured at work, including medical care, wage replacement when an employee is temporarily or permanently disabled, and vocational rehabilitation. The Finance and Information Systems Team develops, interprets and enforces financial policies and protocols; manages a claims information system to record and process benefit expenditures; processes a broad range of financial and accounting transactions; audits financial data in multiple financial systems; and reports on injuries, benefit payments, and City department claim activity.

Overview of the Healthcare Billing Clerk II Position
The Healthcare Billing Clerk II is responsible for medical and non-medical vendor management, responding to medical provider inquiries, coordinating with the Division’s medical bill review contractor, and providing back-up support to other team members as assigned. The ideal candidate will have a strong background in handling, reviewing, and processing medical bills and vendor documents; experience working with medical offices; strong customer service skills; ability to follow complex procedures with a high degree of accuracy; interest in learning California workers’ compensation benefit administration; and a focus on continuous improvement.

The essential duties of the 1636 – Healthcare Billing Clerk II position include but are not limited to the following:

  • Vendor management: Obtain tax, insurance and direct deposit program enrollment documents, evaluate documentation for completeness and compliance with policy and procedure, create and/or update vendor records in Claims Enterprise, and monitor existing vendor records.
  • Vendor inquiries: Provide timely and accurate information on the status of payments, exceptions, bill disputes, lost check affidavits, and all other vendor inquiries, requiring daily coordination with the City and County's medical bill review provider.
  • Auditing: Review processed medical bills for accuracy and timeliness as defined by the California Labor Code, including careful review of complex medical bills, reports and data, and prepare penalty worksheets.
  • Accounting transactions: Process accounting entries in Claims Enterprise to correct claim billing records and other accounting discrepancies as assigned, including data entry on claims, vendors and other modules of the claim system.
  • Cash handling: Complete cash receipts and oversee bank deposits of refunds, subrogation, and other recoveries on a weekly basis.
  • Reporting: Generate and distribute payment reports, explanation of reviews, and related medical billing data/reports.
  • Tax information return processing: Contribute to the annual production of IRS information returns and payor data submission by reviewing and updating vendor records, preparing reports, and evaluating exceptions.
  • Back-up coverage: Support critical work tasks for other team members on leave.

Minimum Qualifications

Experience:

  • One (1) year of experience billing, claims processing and/or collecting healthcare services reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance, third-party payors, and individual payors in a hospital, healthcare agency, or healthcare organization.

Substitution:

  • Completion of 15 semester units or 22 quarter units of medical billing related coursework from an accredited college or university may substitute for six (6) months of qualifying experience.

Verification of Experience: http://sfdhr.org/getting-job#verification

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process.  

Verification of Education:

Information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at http://sfdhr.org/how-verify-education-requirements

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

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.

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf 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

In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice.  As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement.

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 (@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).

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, Gary Chen, by email at gary.w.chen@sfgov.org.

 

Selection Procedures

Only those candidates who most closely meet the needs of the Department will be invited to continue in the selection process.  Applicants who meet the minimum qualifications are not guaranteed to advance through all of the steps in the selection process.

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.

Conclusion

General Information concerning City and County of San Francisco Employment Policies and Procedures:
Important Employment Information for the City and County of San Francisco can be obtained at http://sfdhr.org/information-about-hiring-process

Copies of Application Documents:
Applicants should keep copies of all documents submitted, as these will not be returned.

 

Right to Work:
All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.

 

Reasonable Accommodation Requests:
Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: http://sfdhr.org/information-about-hiring-process#applicantswithdisabilities

 

Recruitment Type: Temporary Exempt


Issued: June 7, 2021


Carol Isen
Human Resources Director

Department of Human Resources
Recruitment ID Number: TEX-1636-904424

DHR / GWC / gary.w.chen@sfgov.org

 

Benefits

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.

 


Click on a link below to apply for this position:

Fill out the Supplemental Questionnaire and Application NOW using the Internet.
View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here.

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