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Career Opportunity

Health Care Billing Clerk II (1636) - Dept. Public Health - (H00014)

Recruitment: REF12346C

Published: July 12, 2022


Herbert Chau -

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Department: Public Health
Job class: 1636-Health Care Billing Clerk II
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Class Based Test
Rule: Rule of 3 What does this mean?
List type: Combined Promotive and Entrance


Interested applicants are encouraged to apply immediately, as the announcement may close at any time.

Amended Dates:

  • 7/12/22 - updated filing deadline from 7/14/22 to continuous and may close at any time

The Department of Public Health is accepting applications in class 1636 Health Care Billing Clerk II.

  • Application Opening: Wednesday, June 22, 2022
  • Application Deadline: Amended Continuous - May close at any time
  • Compensation: $77,272.00-$93,912.00 Yearly
  • Appointment Type: Permanent Civil Service
  • Exam Type: CPE
  • Recruitment ID: CBT-1636-H00014
  • Employment Type: Full-Time


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

Select the “I’m Interested” button and follow instructions on the screen.

Applicants may be contacted by email about this recruitment 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 (,,,,,,,,,,,,,,, and

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.  

Role description

Under general supervision, the 1636 Health Care Billing Clerk II processes difficult and complex medical claims to Medicare, Medi-Cal, Commercial and third-party payers for services provided to patients by the Departments of Public Health. This classification is the journey-level class in the series responsible for performing the full range of duties.

The 1636 Health Care Billing Clerk II performs the following essential job functions:

  • Processes bills and claims for services rendered to patients in order to obtain reimbursement from Medicare, Medi-Cal, commercial, and third-party payors based upon current governmental billing rules and regulations;
  • Evaluates billing documents and claims data for accuracy, completeness, and program compliance;
  • Prepares the initial claims and the follow-up claim if necessary by categorizing charges according to the types of medical services provided, completing medical information, verifying that all charges relate to the diagnosis and calculating the charges and benefits according to regulations;
  • Spends down Medi-Cal share of cost in order to certify monthly coverage to allow processing of claims;
  • Posts payments received from various payors, including Medicare, Medi-Cal, commercial, and third-party payors;
  • Sends Claims Inquiry Forms (CIFs), appeals, and tracers on unpaid accounts at predetermined intervals;
  • Researches questions and denials and provides assistance to patients, physicians, insurance and legal representatives, fiscal intermediaries and other regarding claims reimbursement and coverage;
  • Produces reports relevant to billing and claims activities using electronic databases.

The 1636 Health Care Billing Clerk II also performs other related duties as required.

How to qualify

Minimum Qualifications

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

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). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine full-time employment.

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

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.

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.

Resumes will not be accepted in lieu of a completed City and County of San Francisco application. Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

Selection Procedures

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

Minimum Qualification Supplemental Questionnaire (MQSQ) (Weight: Qualifying): Applicants will be required to complete a Minimum Qualification Supplemental Questionnaire (MQSQ) at any point in the recruitment process. The MQSQ will be emailed to the email address listed on the applicant’s online job application. Applicants must complete and submit the MQSQ as directed in the time frame indicated to continue in the recruitment process. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position. All statements made on MQSQ are subject to verification and must be consistent with the online application.

Written Examination (Weight: 100%): Only those applicants who meet the minimum qualifications will be invited to participate in the Written Examination. Candidates will be administered a written multiple-choice examination test designed to measure the knowledge, skills and abilities in job-related areas which may include but are not limited to:

  • Knowledge of medical claim data collection, billing, and processing for reimbursement from Medicare, Medi-Cal, commercial, and third-party payers
  • Knowledge of basic medical terminology
  • Ability to use a personal computer to enter and update data, create documents, and use system applications, email, spreadsheets, and word-processing software
  • Knowledge of payment posting procedures
  • Ability to perform detailed clerical work in a methodical and thorough manner with accuracy
  • Ability to perform mathematical calculations accurately and effectively

This is a standardized examination; therefore, test questions and test answers are not available for public inspection or review. Candidates must achieve a passing score to continue in the selection process. Candidates will be placed on the confidential eligible list/score report in rank order according to their final score.

Qualified applicants will be notified by email of the exact time and location of the examination. If you also apply and meet the minimum qualifications for the 1635 Health Care Billing Clerk I recruitment, you will only be scheduled once for the examination.

Eligible List/Score Report: A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores, and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be of twelve (12) months and may be extended with the approval of the Human Resources Director.

Certification: The certification rule used for the eligible list resulting from this selection procedure will be Rule of Three (3) Scores. Additional position-specific selection mechanisms may be conducted by the hiring department prior to making final hiring decisions.

What else should I know?

Terms of Announcement and Appeal Rights: 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. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications, and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at

Statement on Equity, Diversity, and Inclusion: At the City and County of San Francisco, we share a commitment to a diverse, inclusive, and equitable community. Each member of our organization is responsible and accountable for what they say and do to make San Francisco an inclusive and equitable place to live and work by employing fair and just practices to and for all.

Licensure/Certification/Registration: Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout length of employment. Failure to demonstrate/show proof of possession of required valid licensure/certification/registration may result in dismissal and/or termination of employment.

ICARE: Willingness to uphold/abide by ZSFG’s ICARE (I-Introduce, C-Connect, A-Ask, R-Respond, E-Exit) philosophy for employee and patient interactions:

Electronic Health Record (EHR): The Department of Public Health (DPH) is implementing a unified Electronic Health Record (EHR) system and DPH employees must demonstrate competency in the use of the system that is appropriate for their classification as a condition of employment.

Personal Protective Equipment (PPE): Some positions in the Department of Public Health will require the use of personal protective equipment (PPE), including but not limited to gloves, gowns, eye and face protection, and face-fitting respirators. The requirement for the use of PPE may come on short or no notice. Facial hair or any condition that interferes with a face-fitting respirator’s seal (i.e., weakens the seal between the respirator and the wearer’s bare skin) is not permitted when face-fitting respirators are worn, including during initial or periodic respirator fit-testing. Employees who choose not to shave and do not have either American Disabilities Act (ADA) or Equal Employment Opportunity (EEO) Accommodations do not have the right to alternate work assignments or the option of using a loose-fitting Powered Air Purifying Respirator (PAPR) in place of a Face Fitting Respirator.

Medical Examination/Drug Testing: Prior to appointment, at the Department's expense, applicants may be required to take a tuberculosis (TB) screening test, a medical examination and/or drug test. Medical Examination Information

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 Herbert Chau at or (415) 554-2911.

-       Commitment to providing first-class care and service to all members of the DPH service population, with heightened sensitivity and awareness to racial, ethnic, and culturally diverse members of the DPH’s workforce and patient populations.

-       Desire and commitment to lead and participate in antiracism, racial justice, and equity work that impacts quality of patient care, and improvements in employee experiences; along with the commitment and fortitude to push and drive change in these areas.

Desire to work with, relate to, serve, and support a diverse workforce and patient population.

Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

All of your information will be kept confidential according to EEO guidelines.

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.