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

DataSF • San Francisco, CA, United States • $200k - $250k / year • 1m ago

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

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

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 from sources such as the patient's medical record, discharge summary, and Admissions forms;
Prepares the claims forms by completing the information required and categorizing the billing charges by grouping them according to types of medical services provided;
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 in order to verify patient's medical records number to ensure that the proper medical chart is requested.

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. 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.

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. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications.

Assessment Component: Candidates that meet the minimum qualifications will be invited to participate in a written multiple-choice exam that is designed to measure the knowledge, skills, and abilities in job-related areas.

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;
Knowledge modern office practices and procedures;
Knowledge of payment posting procedures;
Ability to perform detailed clerical work in a methodical and thorough manner with accuracy;
Ability to read and analyze a medical chart;
Interpersonal relations ability;
Ability to perform mathematical calculations accurately and effectively;
Ability to use a personal computer to enter and update data, create documents, and use system applications, email, spreadsheets, and word-processing software.

Written Examination (Weight: 100%): Candidates must achieve a passing score on the written multiple-choice exam in order to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.

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. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition, 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.

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