Patient Accounts Assistant Supervisor (1662) - Dept. of Public Health - (151390)

City and County of San Francisco; San Francisco (CA); On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a Patient Accounts Assistant Supervisor to oversee a dynamic team in the healthcare sector. This role involves supervising the processing of health care claims, ensuring compliance with regulations, and assisting patients with inquiries. The ideal candidate will have a strong background in billing and claims processing, with a thorough understanding of Medicare and Medicaid procedures. Join a dedicated team committed to improving health care services and making a positive impact in the community.

Qualifications

• Two years of experience in billing and claims processing.
• Thorough knowledge of medical claims processing procedures.

Responsibilities

• Supervises staff processing claims for reimbursement.
• Researches and traces reimbursement denials.

Skills

Billing

Claims Processing

Healthcare Reimbursement

Problem Resolution

Policy Enforcement

Education

Experience in Healthcare Billing

Tools

ICD-10

HCPCS

HIPAA Transactions

Job description

Patient Accounts Assistant Supervisor (1662) - Dept. of Public Health - (151390)

Join to apply for the Patient Accounts Assistant Supervisor (1662) - Dept. of Public Health - (151390) role at City and County of San Francisco.

Job Description

Under general supervision, supervises a unit involved in processing health care claims for reimbursement. Monitors accounts, bills, and reports; interprets, implements, and enforces policies and procedures; traces and adjusts bills; assists patients and third-party payors; assists the Patient Accounts Supervisor; and performs related duties as required.

Examples of essential duties include:

1. Supervises staff involved in processing claims for reimbursement, reviews work for completeness, resolves problems, and performs related duties such as preparing reports and screening mail.
2. Uses reports to identify problem areas, monitors accounts for timely processing, and ensures correct coding and billing procedures are followed.
3. Implements new procedures in accordance with changes in State and Federal laws, and enforces existing procedures.
4. Researches and traces reimbursement denials, verifies reasons for unpaid bills, and makes billing adjustments as needed.
5. Assists patients with forms and questions, handles inquiries, and coordinates with other departments for documentation verification.
6. Handles responsibilities of the Patient Accounts Supervisor in their absence and assists in preparing audit reports.

Qualifications

Minimum Qualifications - Required:

• Two (2) years of experience in billing, claims processing, and/or collecting healthcare reimbursements from Medi-Cal, Medicare, insurance, or third-party payors in a healthcare setting.

Desirable Qualifications:

• Thorough knowledge of medical claims processing procedures, including Medicare, Medicaid, and insurance billing rules.
• Knowledge of accounts receivable principles, including payments posting, adjustments, and error corrections.
• Experience with HIPAA electronic transactions and formats, and standard code sets like ICD-10, HCPCS.
• Ability to explain complex policies, supervise staff, and apply billing and collection methods.

Additional Information

Applicants must clearly demonstrate how they meet the minimum qualifications in their application. The selection process includes a supplemental questionnaire exam, which must be passed to continue. The list of eligible candidates is valid for 6 months.