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Career Opportunity

ZSFG Patient Financial Services Outpatient Registration Manager (0923 Manager II)

Recruitment: RTF0145496-01106391

Published: April 05, 2024


Sayana Domshoeva -

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Department: Public Health
Job class: 0923-Manager II
Starting salary range: $137,540.00 - $175,552.00 (Range A)
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Position Based Test
Rule: Contact us for more information
List type: Contact us for more information


The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.

  • Application Opening: March 28, 2024
  • Application Deadline: Continuous at least through April 4, 2024 
    • Final closing date of April 7, 2024, by 11:59 PM PST
  • Salary: $137,540 and $175,552 Annually
  • Appointment Type: Permanent Civil Service
  • Recruitment ID: PBT-0923-145496; RTF0145496- 01106391

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

Role description

Under general administrative direction of the Director of Patient Financial Services, ZSFG Patient Financial Services Outpatient Registration Manager oversees operations related to outpatient scheduling, registration, financial counseling, and authorization requirements for ZSFG ancillary services.

Duties also require planning and coordination of optimal patient flow with clinical and support departments to ensure patient wait times and gathering of patient information is optimized. The incumbent will plan, produce, implement, and monitor programs, policies and procedures related to Patient Access at ZSFG. Within the Network, they will coordinate patient flow with Community clinics to integrate them with hospital-based services. Manage Patient Access staff including 2909, 2908 and 2903.


ZSFG Patient Financial Services Outpatient Registration Manager performs the following essential job functions:

  • Oversees the operations of the Outpatient Registration Unit within Patient Financial Services including scheduling, registration, eligibility, financial counseling, authorization requirements, and ensuring the success and quality of the Department’s Patient Access initiatives.
  • Develops, designs, tracks, evaluates, coordinates, and improves the overall operational metrics for provider productivity, registration, scheduling, billing, and other systems to ensure an efficient and cost-efficient healthcare delivery system in a managed care model.
  • Serves as an expert resource concerning eligibility requirements for patients to qualify for State, Federal, and County programs (i.e., Medicare, Medi-Cal, CCS, Health Families, Family Pact, etc.).
  • Ensures the accuracy and completeness of daily registrations, the high level of quality service provided to patients and participation in process and quality improvement/optimization initiatives within Patient Access, PFS, Hospital and SFHN network as appropriate.
  • Responsible for adequate staffing levels of the ancillary clinics under their supervision, developing standards of performance for staff which are measured, reported, and addressed when needed and staff development, including training, reviews of progress, and communication of findings.
  • Updates and/or establishes patient access policies & procedures to ensure compliance with governmental regulations, accrediting bodies, hospital policies & procedures, and other statutes.
  • Reviews accounts, cases, testing scenarios, and workflows to identify performance issues and take action to ensure that rework and uncompensated care is minimized.

ZSFG Patient Financial Services Outpatient Registration Manager performs other duties as assigned and required.

How to qualify

Required Minimum Qualifications (all applicants must verify that they meet both elements below):

  1. Education: Possession of a Bachelor’s degree from an accredited college or university;

  2. Experience: Three (3) years of professional experience in a Patient Access or Patient Financial Services Setting.

EDUCATION SUBSTITUTION: Additional qualifying work experience as described above may substitute for the required education on a year-for-year basis, up to four (4) years. One year (2,000 hours) of additional qualifying work experience will be considered equivalent to 30 semester units or 45 quarter units.

Note: One year of full-time employment is equivalent to 2,000 hours of qualifying work experience (one year if performed full-time at 40 hours per week).

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

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. 

Desired Qualifications:

The stated desirable qualifications listed below may be used to identify job finalists at the end of the selection process after candidates are referred for selection:

  • Three (3) years supervisory experience.
  • Experience developing and directing department wide initiatives.
  • Knowledge of complicated and varied healthcare regulatory and compliance issues at federal and state level, and operations in a Patient Access and Patient Financial Services setting. 
  • Experience developing and making presentations and developing training materials for a wide variety of audiences. 
  • Understanding of Managed Care and Government Programs, Health Network Integration and Customer Service. 
  • Experienced with implementation of Hospital eligibility and Patient Access programs, policies and procedures and a demonstrable understanding of their relationship to the other areas of the Revenue Cycle.
  • Experience working with the Epic EHR system.

Selection Procedures:
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Supplemental Questionnaire Evaluation: (Weight: 100%)

Qualified candidates will be prompted to complete a Supplemental Questionnaire after the closing of this filing period. Applicants will be given a deadline to return the Supplemental Questionnaire. The Supplemental Questionnaire is designed to measure knowledge, skills, and/or abilities in job-related areas which have been identified as critical for Outpatient Registration Manager positions in class 0923 Manager II.

Failure to complete these steps by the established deadlines will result in disqualification. All applicants’ responses to the Supplemental Questionnaire are subject to verification.

A passing score on the Supplemental Questionnaire must be achieved to be placed/ranked on the Eligible List. Candidates will be placed on the eligible list in rank order according to their final score.

Candidates from the eligible list will be invited to interview for specific positions with consideration of at least score/rank and experience cited in application materials that most closely matches the responsibilities of the position.

What else should I know?

What else should I know?

The certification rule for the eligible list resulting from this examination will be the Rule of the List.

Eligible List/Score Report:
Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit

The duration of the eligible list resulting from this examination process will be 6 months and may be extended with the approval of the Human Resources Director.

How to apply:

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit and begin the application process. 

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. 

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 

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.

Terms of Announcement and Appeal Rights:

This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

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. 

DPH Health Critical Requirements and Information: Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

Additional information regarding Employment with the City and County of San Francisco: 

If you have any questions regarding this recruitment or application process, please contact the analyst, Sayana Domshoeva at or (628) 271-6715

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

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.