"Alerted.org

THIS RECRUITMENT IS FOR CURRENT CITY EMPLOYEES ONLY.

This is a Promotional-Only recruitment in accordance with Position-Based Test (PBT) Civil Service Rules. This recruitment is restricted to current permanent civil service employees of the City and County of San Francisco working within the immediate lower-level classification, 1663 Patient Accounts Supervisor.

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 Opening – Friday, November 14, 2025

+ Application Deadline – Application filing will close on or after Wednesday, November 26, 2025

+ Salary: $119,782 - $145,470 (https://careers.sf.gov/classifications/?classCode=1664) Annually

+ Appointment Type: Permanent Civil Service (https://careers.sf.gov/knowledge/role-types/)

+ Recruitment ID: PRO-1664-161585

•️Please complete these two steps when applying,

+ Complete the required Training and Experience Assessment at the time of application:  https://forms.gle/bZ1jLAdD2zE5ivz26

+ Submit an online application by clicking the “Apply Now” button and filling one out

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.

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

+ Administers the staff and activities within the Billing department through subordinate supervisory personnel with goal of maximizing efficiency and accuracy of billing processes and maximizing payments;

+ Coordinates, communicates and works with various hospital and clinical departments on billing-related activities, developing workflows, troubleshooting issues, and improving efficiency;

+ Maximizes staff productivity by assigning duties, setting goals and expectations for performance. Makes recommendations concerning employee status. Implements ongoing staff development learning and professional growth;

+ Develops, coordinates, documents and enforces policies, methods and procedures. Conducts staff meetings for the purpose of evaluating and disseminating information about departmental policies and procedures;

+ Performs various administrative duties such as preparing input for the annual audits and reviews, investigating complaints about services, attending meetings to exchange information and plan procedures;

+ Reviews and interprets computer-produced reports, daily statistical data, and accounts receivable numbers to monitor overall department performance, revenue analysis or monitoring and tracking of issues;

+ Performs revenue analysis related to charge errors, claims submission volume, denials and trends based on claim type and/or payer, including unbilled inventory to ensure the team is prioritizing their work and focus on resolving billing issues in a timely manner;

+ Coordinates electronic data processing, billings, and collections and data submitted by departments providing medical services. Administers the collecting, editing, transmission and controls over data required for electronic claim submission. Works closely with IT and Vendors to ensure proper system function and claiming logic is in place;

+ Monitors, interprets and implements billing rules, regulations and provider updates related to Medicare and Medi-Cal via review of released materials. Attends payer and vendor meetings for information and knowledge sharing

The 1664 Patients Accounts Manager also performs other related duties as required.

Minimum Qualifications – Required

+ Current Permanent Civil Service City Employee in class 1663 Patient Accounts Supervisor, who passed probation;* AND

+ EXPERIENCE: Five (5) years 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 of which three (3) years must be in a supervising 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).

Special Requirements:

Special Qualifications including specialized knowledge, abilities, education, experience, or license may be established for individual positions.

*Prior to appointment, permanent civil service employees must have passed probation in class 1663 Patient Accounts Supervisor.

Resumes will not be accepted in lieu of a completed City and County of San Francisco application. Applications completed improperly may be cause for ineligibility, disqualification or may lead to a lower score.

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:

+ Job Application - Applicants must fully complete the job application. Information from resumes does not substitute for the information on the job application or preliminary questionnaire.

+ Training and Experience Assessment (100% Weight) - All candidates must complete the Training and Experience Assessment as part of the employment application. See this link to submit the Training and Experience Assessment: https://forms.gle/bZ1jLAdD2zE5ivz26

Please answer the assessment carefully and thoroughly. It will serve as the Training and Experience Assessment for this recruitment and will be used to determine your eligibility for this recruitment as well as your score and rank on the eligible list. Qualified applicants will be ranked on the eligible list based on the amount of training/education and experience above the minimum qualifications for the 1664 Patient Accounts Manager, along with any additional qualifying points (e.g., promotive status), as outlined in Civil Service Commission (CSC) rules. All work history will be verified using official City records, which will serve as the final authority in determining qualifying service.

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 List 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. For more information, visit https://careers.sf.gov/knowledge/process/

The duration of the eligible list resulting from this examination process will be 6 months and may be extended with the approval of the Human Resources Director.

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.

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link.

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address.

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Terms of Announcement and Appeal Rights:

This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.

Additional information regarding Employment with the City and County of San Francisco:

+ Information about the Hiring Process (https://sfdhr.org/information-about-hiring-process)

+ Conviction History (https://sfdhr.org/conviction-history-faq)

+ Employee Benefits Overview (https://sfdhr.org/benefits-overview)

+ Equal Employment Opportunity (https://sfdhr.org/equal-employment-opportunity)

+ Disaster Service Workers (https://prod.employee.sf.gov/esc?id=emp\_taxonomy\_topic&topic\_id=bcdca5b5932e121013493a718bba10b5)

+ Reasonable Accommodation

+ Right to Work (https://careers.sf.gov/knowledge/?\_gl=1*1pm33c6*\_ga*MTM0MjkxMzcwLjE3NTkyNzM1ODY.*\_ga\_837FY6J1M1*czE3NTkyNzYyODYkbzIkZzEkdDE3NTkyNzYzMDYkajQwJGwwJGgw#:~:text=Identification/Right%20to%20Work)

+ Copies of Application Documents

+ Diversity Statement

+ Veterans Preference

+ Seniority Credit in Promotional Exams (https://sfdhr.org/recruitment-details#senioritycredit)

If you have any questions regarding this recruitment or application process, please contact the analyst, Herbert Chau at [email protected] or (628) 271-6707.

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

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 (associated with cancer, a history of cancer, or genetic characteristics), 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.