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Patient Accounts Supervisor (1663) - Dept. of Public Health - (163395)
Recruitment: REF59871Z
Published: March 03, 2026
Contact:
Herbert Chau - herbert.chau@sfdph.org
Apply using SmartRecruiters, the City and County of San Francisco's application portal.
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Department: Public Health
Job class:
1663-Patient Accounts Supervisor
Salary range: $106,054.00 - $128,960.00
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type:
Position Based Test
Rule:
Rule of 10
List type:
Combined Promotive and Entrance
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.
This is a Position-Based Test conducted in accordance with CSC Rule 111A . Learn more about the City’s hiring process here: https://careers.sf.gov/knowledge/process/
Application Opening : Friday, February 13, 2026
Application Deadline : Application filing will close on or after Friday, February 27, 2026
Salary : $106,054 - $128,960 Annually
Appointment Type : Permanent Civil Service
Recruitment ID : PBT-1663-163395
Becoming a City employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for the City, you’re choosing a job with purpose.
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. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.
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. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.
The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list.
Role description
Under direction, the Patient Accounts Supervisor assigns, supervises and reviews the work of staff engaged in the billing, claims processing, collections and/or posting of reimbursements and payments of services rendered by the San Francisco Department of Public Health (DPH). The essential job duties include, but are not limited to:
Assigns, supervises and reviews the work of subordinate personnel engaged in the processing of healthcare medical claims and/or the collection of patient accounts including handling patient complaints regarding billing;
Interprets, implements, and enforces policies and procedures related to billing, collections and cash posting, which may include Medicare, Medi-Cal and other state and federal payer regulations;
Coordinates procedures with other divisions within the Department of Public Health, other City and County departments and contractor agencies, including the Bureau of Delinquent Revenue of the Tax Collector's Office; refers accounts to and furnishes the Bureau of Delinquent Revenue with information regarding delinquent accounts;
Supervises the processing of bills necessary to comply with subpoenas and the obtaining of assignment of benefits for patients or insured; corresponds with attorneys in connection with the payment of bills;
Maintains and reviews records and reports such as audit trails for federal and state auditors, California Hospital Facilities Commission reports, monthly reports of accounts receivable, cost reports and other financial records/reporting;
Establishes audit and control procedures as a part of a data collection system for service charges; works with systems analysts in order to correct any detailed problems in individual cases within the Electronic Data Processing system;
Attends meetings and seminars in order to keep informed of changes in billing regulations, collection procedures and Utilization Review guidelines.
The 1663 Patient Accounts Supervisor also performs related duties as assigned.
How to qualify
Minimum Qualifications - Required
EXPERIENCE: Four (4) years of experience billing, claims processing and/or collecting medical claims or healthcare service reimbursements from Medicare, Medi-Cal (Medicaid), insurance, third-party payors, and individual payors in a hospital, healthcare agency or healthcare billing organization of which two (2) years must be in a supervisory capacity.
Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.
One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).
DESIRABLE QUALIFICATIONS: The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.
Two (2) years’ experience utilizing a computerized billing system, financial spreadsheet, database, and word processing.
Supervisory experience in a Hospital, Healthcare Provider Agency or an Organized Healthcare Delivery System with All Payer Billing (Medicare, Medi-Cal, Commercial) and Insurance follow-up/ collections.
Strong knowledge of Healthcare Financial Administration (HCFA): Medicare, Medi-Cal and Commercial regulations regarding Billing and Insurance reimbursements.
Experience supervising a minimum of five (5) full time employees in a healthcare accounts receivable setting.
Working experience with computerized systems such as: Epic, Experian, Fiscal Intermediary Direct Data Entry (DDE), Cal-Meds, MS Office.
Knowledge of electronic HIPAA transactions such as, 837 Claims/ Encounters, 835 EOB/ Remittance Advice, 834 Benefit Enrollments, Updates and Terminations, 276 Claim Status Inquiry, and 277 Claim Status Responses; and, Standard Code sets, including: ICD-10 and HCPCS codes.
Verification of Education and Experience:
Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications.
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ .
Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.
What else should I know?
Selection Procedures :
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.
Supplemental Questionnaire Examination (Weight: 100%):
The supplemental questionnaire exam is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to:
Knowledge of Medicare, Medi-Cal, health insurance plans, and other state and federal regulations concerning reimbursement at the level of training subordinates in this area
Knowledge of the basic principles of accounts receivable, accounts payable, adjustment posting
Knowledge of the basic principles of Electronic Data Processing and applying it to a large facility with a high volume and variety of data
Knowledge HIPAA transactions and code sets
Ability to make proper interpretations of Medicare, Medi-Cal, health insurance plans and other state and federal regulations concerning reimbursement
Ability to plan, review and supervise the work of subordinates engaged in health care billing and collections
Interpersonal Relations
Written Communication
Oral Communication
Computer Skills
Skill in identifying pertinent legal references to interpret legal procedures involved in the collection of present liens on file
Candidates must achieve a passing score on the Supplemental Questionnaire exam to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.
Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Certification
The certification rule for the eligible list resulting from this examination will be the Rule of 10 Scores.
Eligible List/Score Report :
A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.
The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director.
To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments.
Published: March 03, 2026
Contact:
Herbert Chau - herbert.chau@sfdph.org
Apply using SmartRecruiters, the City and County of San Francisco's application portal.
Share
Department: Public Health
Job class:
1663-Patient Accounts Supervisor
Salary range: $106,054.00 - $128,960.00
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type:
Position Based Test
Rule:
Rule of 10
List type:
Combined Promotive and Entrance
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.
This is a Position-Based Test conducted in accordance with CSC Rule 111A . Learn more about the City’s hiring process here: https://careers.sf.gov/knowledge/process/
Application Opening : Friday, February 13, 2026
Application Deadline : Application filing will close on or after Friday, February 27, 2026
Salary : $106,054 - $128,960 Annually
Appointment Type : Permanent Civil Service
Recruitment ID : PBT-1663-163395
Becoming a City employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for the City, you’re choosing a job with purpose.
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. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.
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. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.
The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list.
Role description
Under direction, the Patient Accounts Supervisor assigns, supervises and reviews the work of staff engaged in the billing, claims processing, collections and/or posting of reimbursements and payments of services rendered by the San Francisco Department of Public Health (DPH). The essential job duties include, but are not limited to:
Assigns, supervises and reviews the work of subordinate personnel engaged in the processing of healthcare medical claims and/or the collection of patient accounts including handling patient complaints regarding billing;
Interprets, implements, and enforces policies and procedures related to billing, collections and cash posting, which may include Medicare, Medi-Cal and other state and federal payer regulations;
Coordinates procedures with other divisions within the Department of Public Health, other City and County departments and contractor agencies, including the Bureau of Delinquent Revenue of the Tax Collector's Office; refers accounts to and furnishes the Bureau of Delinquent Revenue with information regarding delinquent accounts;
Supervises the processing of bills necessary to comply with subpoenas and the obtaining of assignment of benefits for patients or insured; corresponds with attorneys in connection with the payment of bills;
Maintains and reviews records and reports such as audit trails for federal and state auditors, California Hospital Facilities Commission reports, monthly reports of accounts receivable, cost reports and other financial records/reporting;
Establishes audit and control procedures as a part of a data collection system for service charges; works with systems analysts in order to correct any detailed problems in individual cases within the Electronic Data Processing system;
Attends meetings and seminars in order to keep informed of changes in billing regulations, collection procedures and Utilization Review guidelines.
The 1663 Patient Accounts Supervisor also performs related duties as assigned.
How to qualify
Minimum Qualifications - Required
EXPERIENCE: Four (4) years of experience billing, claims processing and/or collecting medical claims or healthcare service reimbursements from Medicare, Medi-Cal (Medicaid), insurance, third-party payors, and individual payors in a hospital, healthcare agency or healthcare billing organization of which two (2) years must be in a supervisory capacity.
Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.
One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).
DESIRABLE QUALIFICATIONS: The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.
Two (2) years’ experience utilizing a computerized billing system, financial spreadsheet, database, and word processing.
Supervisory experience in a Hospital, Healthcare Provider Agency or an Organized Healthcare Delivery System with All Payer Billing (Medicare, Medi-Cal, Commercial) and Insurance follow-up/ collections.
Strong knowledge of Healthcare Financial Administration (HCFA): Medicare, Medi-Cal and Commercial regulations regarding Billing and Insurance reimbursements.
Experience supervising a minimum of five (5) full time employees in a healthcare accounts receivable setting.
Working experience with computerized systems such as: Epic, Experian, Fiscal Intermediary Direct Data Entry (DDE), Cal-Meds, MS Office.
Knowledge of electronic HIPAA transactions such as, 837 Claims/ Encounters, 835 EOB/ Remittance Advice, 834 Benefit Enrollments, Updates and Terminations, 276 Claim Status Inquiry, and 277 Claim Status Responses; and, Standard Code sets, including: ICD-10 and HCPCS codes.
Verification of Education and Experience:
Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications.
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ .
Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.
What else should I know?
Selection Procedures :
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.
Supplemental Questionnaire Examination (Weight: 100%):
The supplemental questionnaire exam is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to:
Knowledge of Medicare, Medi-Cal, health insurance plans, and other state and federal regulations concerning reimbursement at the level of training subordinates in this area
Knowledge of the basic principles of accounts receivable, accounts payable, adjustment posting
Knowledge of the basic principles of Electronic Data Processing and applying it to a large facility with a high volume and variety of data
Knowledge HIPAA transactions and code sets
Ability to make proper interpretations of Medicare, Medi-Cal, health insurance plans and other state and federal regulations concerning reimbursement
Ability to plan, review and supervise the work of subordinates engaged in health care billing and collections
Interpersonal Relations
Written Communication
Oral Communication
Computer Skills
Skill in identifying pertinent legal references to interpret legal procedures involved in the collection of present liens on file
Candidates must achieve a passing score on the Supplemental Questionnaire exam to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.
Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Certification
The certification rule for the eligible list resulting from this examination will be the Rule of 10 Scores.
Eligible List/Score Report :
A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.
The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director.
To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments.
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