1663-Patient Accounts Supervisor

Job description

CITY AND COUNTY OF SAN FRANCISCO

DEPARTMENT OF HUMAN RESOURCES

Title: Patients Accounts Supervisor

Job Code: 1663

DEFINITION

Under direction, 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 Department of Public Health of the City and County of San Francisco and performs related duties as required. This classification is responsible for the everyday supervision of a billing, collections, claims processing or a cash posting unit in a billing department/ specialty health services program or over a unit performing both functions in a small billing department.

DISTINGUISHING FEATURES

It differs from the classification of 1662 Patient Accounts Assistant Supervisor in that a 1662 is responsible for supervising a unit within the billing or collection sections whereas the 1663 Patient Accounts Supervisor is responsible for supervising the entire billing or collection sections of a large billing department. This classification also differs from classification 1664 Patient Accounts Manager in that the Patient Accounts Manager is responsible for the day-to-day administration over the entire billing and collections department of a large medical facility.

SUPERVISION EXERCISED

Directs and supervises personnel assigned to the Patient Accounts Department.

EXAMPLES OF IMPORTANT AND ESSENTIAL DUTIES

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. 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.

2. 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 so insured; corresponds with attorneys in connection with the payment of bills.

3. 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.

4. 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.

5. Attends meetings and seminars in order to keep informed of changes in billing regulations, collection procedures and Utilization Review guidelines.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge: Medicare, Medi-Cal, health insurance plans, and other state and federal regulations concerning reimbursement at the level of training subordinates in this area; the basic principles of accounts receivable, accounts payable, adjustment posting; familiarity with the basic principles of Electronic Data Processing, HIPAA transactions and code sets.

Ability or Skill to: make proper interpretations of Medicare, Medi-Cal, health insurance plans and other state and federal regulations concerning reimbursement; plan, review and supervise the work of subordinates engaged in health care billing and collections; adapt the basic principles of Electronic Data Processing to the volume and variety of data in a large facility; work effectively with a wide variety of individuals and groups, and use effective written and oral communication. operating a ten-key adding machine and computer operating systems to train others. Skill in identifying pertinent legal references in order to interpret legal procedures involved in the collection of present liens on file will be acquired on the job.

MINIMUM QUALIFICATIONS

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification. Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.

Education:

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 .

License and Certification:

Substitution:

SUPPLEMENTAL INFORMATION

PROMOTIVE LINES

To: 1664 Patient Accounts Manager

From: 1662 Patient Accounts Assistant Supervisor

ORIGINATION DATE:

10/02/1979

AMENDED DATE:

09/21/15; 09/11/19

REASON FOR AMENDMENT:

To accurately reflect the current tasks, knowledge, skills & abilities, and minimum qualifications.

BUSINESS UNIT(S):

COMMN SFMTA SFCCD SFUSD

Standard information

Disaster service work

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.

Historic and future compensation