POSITION DESCRIPTION: Under general administrative direction, the Director of Patient Accounts manages day-to-day operations of Billing and Collections for San Francisco General Hospital & Trauma Center and Community Oriented Primary Care (COPC) accounts receivable; oversees gross annual revenue of $1.5 Billion, 42,000 accounts billed per month, and collections of $20 million per month. Administers department budgets for Patient Accounting and Credit and Collections, combined annual labor budget of $5,000,000, total 68 FTE’s. Responsible for managing non-labor expense to ensure budget control. Oversees department productivity and staff training to ensure hospital accounts receivable fiscal year goals are met. Responsible for personnel hiring and Human Resource (HR) related issues, according to MOU’s, Department of Public Health and City and County of S.F. HR policies. Coordinates with internal and external, government and non-government program audits. Reviews and supplies additional information related to audit issues. Develops department policies and procedures for billing and collection in accordance with government and non-government billing regulations. Essential functions include: plan, direct, monitor and evaluate operations billing for the hospital, clinics and long term care facilities; manage day-to-day operations of Billing and Collection departments to ensure timely and accurate billing for efficient collection of cash; determine staffing needs to recommend appropriate operations resources to Patient Financial Services Director; stay current on billing regulations for both government and non-government requirements; ensure compliance with requirements of: Medi-Cal, Behavioral Health’s Billing Information System (BIS), Family Pact, Child Health & Disability Program, Commercial Insurance, HMO, Breast Cancer Early Detention Program, Managed Care Medi-Cal and Self Pay; coordinate between IS and electronic billing vendors to ensure billing data profiles are interfaced correctly; monitor and correct systems problems and reduce errors to payers; provide direction to employees when profile changes are needed; review changes for accuracy to insure changes in coding have been successfully completed; ensure automatic processing payments from Medi-Cal and Medicare; coordinate and manage work activities between BIS and hospital patient accounting system; manage and coordinate staff for cash and patient collections; manage cash posting department including reconciliation and interface with FAMIS; coordinate internal and external audits; monitor credit balance reporting to Medicare and take appropriate action when required; work on multi-disciplinary teams, Medical Records, Information Services, Utilization Review, HR, Quality Management and COPC; and develop complex systems reports to insure the promulgation of important information to key managers. The Director of Patient Accounts also performs other related duties as assigned/required. This position is subject to budget approval.
Note: The normal annual salary range is $91,520 to $116,792. Appointments above the maximum of the normal range may be considered based on documented and substantiated recruitment and retention issues or exceptional skills, and require special approval process.
In addition to competitive salaries, the City offers flexible benefit plans with pre-tax elections which include: Medical and Dental Insurance, Retirement Plan; Deferred Compensation Plan; Social Security; Long-term Disability Plan; Life Insurance; paid Management Training program; eleven (11) paid holidays per year; five (5) floating holidays; ten (10) to twenty (20) vacation days per year, depending on years of service; and may earn up to one-hundred (100) hours paid administrative leave per year.
MINIMUM QUALIFICATIONS: - please also see the "VERIFICATION" section below
Four (4) years of verifiable experience within the last seven (7) years, performing administrative oversight or direct management of staff in the billing and collection of medical claims for MediCal, Medicaid, MediCare and third party/individual payors. This experience must have been obtained at an acute care facility with a minimum of three hundred (300) staffed beds.
VERIFICATION: All experience needed to qualify must be submitted on the employer's letterhead and indicate the name of the applicant, job title, dates of employment, hours/week, duties performed and must be signed by the supervisor and/or appropriate company representative.
Note: City employees do not need to submit verification of qualifying City work experience if experience gained is from the class to which appointed. Credit for experience obtained outside of the employee's class will only be allowed if recorded in accordance with the provisions of Civil Service Rules. City employees relying upon qualifying work experience gained outside the City and County of San Francisco must submit written verification of such experience as described above.
Verification of the required experience may be waived if impossible to obtain. However, the applicant must immediately request a waiver of verification of qualifying experience by submitting a signed statement with the application explaining why verification is unattainable. Please note, requests for waiver of verification of qualifying experience will be considered on a case-by-case basis. Failure to submit the required verification of experience or request for waiver of verification with the application at the time of filing may result in rejection of the application.
All statements made on the application or subsequent documents required under this examination announcement are subject to verification.
How to Submit Verification Documents:
1. Upload/attach the documents through JobAps; OR
2. Send or hand deliver the documents to: Department of Public Health, Merit Systems Division, Attn: Class 0923 Manager - II Director of Patient Accounts Exam, 2789 – 25th Street, 3rd Floor, San Francisco, CA 94110
HOW TO APPLY: Interested applicants are encouraged to FILE IMMEDIATELY. Receipt of applications will be cut off, suspended or closed when there are a sufficient number of qualified applicants. Late, improper or incomplete applications may be REJECTED.
Applications for this examination may be filed through our on-line process ONLY (see instructions below). Additionally, computer kiosks are available for public use from 8:00 a.m. to 5:00 p.m. Monday – Friday at the Department of Human Resources, One South Van Ness Avenue, 4th Floor in San Francisco.
On-line ONLY Filing Instructions:
To begin the application process visit www.jobaps.com/sf or www.sfdph.org/dph/comupg/aboutdph/jobs/
· Click and select the PBT-0923-055497 recruitment announcement
· Click on “Apply” and read and acknowledge the information
· Click on “I am a NEW USER” if you have not previously registered, or on “I have REGISTERED PREVIOUSLY”
· Follow instructions given on the screen.
SELECTION PROCEDURES:
Screening of Applications: (Weight: Qualifying)
Applicants meeting the minimum qualifications are not guaranteed advancement in the selection process. Application will be screened for relevant qualifying experience.
Training and experience evaluation: (Weight: 100%)
The information provided by candidates in the job application, required verification and applicable documentation will be evaluated in terms of duration and relevance to class 0923 Manager II – Director of Patient Accounts job-related knowledge, skills and abilities. Qualified applicants will be placed on the eligible list in rank order according to their final score.
Please note, the hiring department may administer additional position-specific selection procedures to make final hiring decisions.
CERTIFICATION RULE: The certification rule for the ranked eligible list resulting from this examination will be Rule of the List.
GENERAL NOTES:
1. Applicants are advised to keep copies of all documents submitted. Submitted documents become a permanent part of the exam record and will not be returned. The hiring department may require applicants to submit the same documents and/or additional documents at a later date.
2. Qualified candidates with disabilities requiring reasonable accommodation for this examination process must contact the examination analyst by phone at: (415) 206 - 5025 (Voice) or, if hearing-impaired, dial: (415) 557 - 4810 (TDD), or in writing at: Department of Public Health, Merit Systems Division, Attn: Class 0923 Manager II - Director of Patient Accounts Exam, 2789 – 25th Street, 3rd Floor, San Francisco, CA 94110, as soon as possible.
3. Important Employment Information on Position-Based Testing Ex aminations for the City & County of San Francisco, which specifies announcement and application policies and procedures including applicant rights, may be obtained on-line at: http://www.sfgov.org/site/sfdhr_page.asp?id=56273 Copies of this information is also available at the Department of Human Resources, One South Van Ness Avenue, 4th Floor in San Francisco. This information is part of the terms of this announcement.
4. The names of all qualified applicants will remain on the eligible list for six (6) months, or until they are selected for a permanent position, whichever comes first.
5. Prior to appointment, at the Department’s expense, applicants may be required to take a TB screening test and/or medical examination.
6. Remember to indicate: Attn: Class 0923 Manager II - Director of Patient Accounts Exam on all correspondence.
MICKI CALLAHAN, DIRECTOR - DEPARTMENT OF HUMAN RESOURCES
ISSUED: APRIL 24, 2009
TYPE OF EXAM: COMBINED PROMOTIVE & ENTRANCE, POSITION-BASED TESTING
RECRUITMENT#: PBT-0923-055497 (CPE-72-L)
MCCP FILE#: 81-078
TEAM: DPH, (415) 206-5025 (NM)
