Health Care Billing Clerk I (1635) - Dept. of Public Health - (H00076)

Sf Hrc; San Francisco (CA); On-site; USD 40,000 - 60,000; Full time

Job summary

An established industry player in public health is seeking a Health Care Billing Clerk I to join their team. This role involves reviewing and processing medical claims, ensuring accuracy in billing documents, and assisting patients with inquiries regarding their claims. The ideal candidate will have experience in healthcare billing and a keen eye for detail. Join a mission-driven organization committed to promoting health equity and diversity in the community. If you are passionate about making a difference in public health and possess the necessary qualifications, this is an excellent opportunity to contribute to the well-being of San Franciscans.

Qualifications

• 6 months experience in billing or claims processing in healthcare.
• Completion of medical billing coursework can substitute for experience.

Responsibilities

• Review and process medical claims for reimbursement.
• Evaluate billing documents for accuracy and completeness.
• Assist patients and providers with claims inquiries.

Skills

Billing and claims processing

Healthcare reimbursements

Attention to detail

Communication skills

Education

15 semester units of medical billing coursework

Job description

Health Care Billing Clerk I (1635) - Dept. of Public Health - (H00076)

Apply using SmartRecruiters, the City and County of San Francisco's application portal.

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 Deadline – Amended Wednesday, July 17, 2024

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.

Under supervision, the 1635 Health Care Billing Clerk I reviews and evaluates medical claims to third-party payors, Medicare, and Medi-Cal for services provided to patients by the Department of Public Health.

The 1635 Health Care Billing Clerk I performs the following essential job functions:

• Reviews, evaluates, and processes bills for services rendered to patients in order to obtain reimbursement from various insurance carriers and government programs;
• Evaluates billing documents and claims data for accuracy and completeness, obtaining missing or correct data when necessary;
• Prepares the claims forms by completing the information required and categorizing the billing charges;
• Reviews electronic and lockbox payments and posts to corresponding accounts;
• Researches questions and concerns, and provides assistance to patients, physicians, insurance and legal representatives, and others regarding claims reimbursement and coverage;
• Queries electronic databases to verify patient's medical records number.

The 1635 Health Care Billing Clerk I also performs other related duties as required.

How to qualify

Minimum Qualifications - Required

EXPERIENCE: Six (6) months 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.

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

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications.

Additional Information

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): Candidates will be required to complete an MQSQ as part of the employment application.

Assessment Component
Candidates that meet the minimum qualifications will be invited to participate in a written multiple-choice exam.

Written Examination (Weight: 100%): Candidates must achieve a passing score on the written multiple-choice exam in order to continue in the selection process.

NOTE: Qualified applicants will receive an email notifying them of the examination's exact time and location.

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

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

What else should I know?

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.

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.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply.