Senior Billing Manager (0923 Manager II)

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Department: Public Health
Job class: 0923-Manager II
Pay range: $67.1125/hr - $85.6625/hr
Role type: Permanent Civil Service What does this mean?
Hours:
Exam type: Contact us for more information
Rule: Contact us for more information
List type: Contact us for more information

About:

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 – December 20, 2024
• Application Deadline – Application filing will close on or after January 3, 2025
• Salary – 0923 Manager II (Effective January 4, 2025, Range A Salary between $141,700 and $180,856)

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 multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration.

Under direction of the Deputy Director, Patient Financial Services & Patient Accounting, the 0923 Senior Billing Manager is responsible for the successful billing in revenue generated from the San Francisco Health Network, Population Health, and Behavioral Health Services for the department to realize $752 million in reimbursement annually. This position provides leadership for the billing teams across the department and analyzes billing regulations and provider updates related to Medicare, Medi-Cal, and other private, government, and other city and county programs.

This position is also responsible for billing system updates and reports. This includes monthly revenue analysis by division, quarterly CMS credit balance reports for both hospitals, yearly Federally Qualified Health Center (FQHC) reconciliation. This position is also the Server Patching Owner for Experian network upgrades and tests, requiring 24/7 availability during EPIC system patching windows.

Essential Duties:

• Manages patient accounting staff, including patient accounts managers, supervisors, and billing staff.
• Resolves all EPIC billing claim edits across all hospitals and divisions.
• Monitors, interprets, and implements billing regulations and provider updates related to Medicare, Medi-Cal, and other Private, Government, Other City & County programs.
• Prepares monthly revenue analysis by division, related to claims submission volume and trends based on claim/error type and/or payer, including outstanding unbilled revenue.
• Develops, interprets, coordinates, and enforces policies and procedures specific to each division's revenue.
• Prepares quarterly CMS credit balance reports for all DPH Zuckerberg San Francisco General (ZSFG) and Laguna Honda Hospital (LHH) Medicare Provider Transaction Access Numbers (PTANS).
• Prepares, submits, and certifies yearly Federally Qualified Health Center (FQHC) reconciliation for 19 DPH/CCSF FQHC clinics.
• Oversees all billing, follow-up, and collections within Laguna Honda Hospital & Rehabilitation Center.
• Creates Hospital Account Records (HARs) for all organ donor accounts involving Donor Network West.
• Acts as the Server Patching Owner for Experian network upgrades and tests, available 24/7 during patching windows.

How to Qualify

Required Minimum Qualifications:

Education: Possession of a bachelor's degree from an accredited college or university; AND

Experience: Four (4) years of experience in billing, claims processing, and/or collecting healthcare service reimbursements.

Education Substitution: Additional qualifying experience may substitute for the degree requirement on a year-for-year basis.

Note: One-year full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).

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

DESIRABLE QUALIFICATIONS:

• Two years of experience supervising staff performing billing, claims processing, or healthcare service reimbursements.
• EPIC Resolute Hospital Billing Certificate and/or EPIC Resolute Professional Billing Certificate.

Selection Procedures:

After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process.

What else should I know?

Certification: 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.

How to Apply: Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process.

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, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

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