Manager, Patient Accounting - SCVHHS

Salary : $134,948.32 - $164,037.12 Annually
Location : San Jose Metropolitan Area, CA
Job Type: Full-Time
Job Number: 25-B54-A
Department: Santa Clara Valley Health Care - Valley Medical Center
Division: Patient Accounting
Opening Date: 02/25/2025
Closing Date: 3/10/2025 11:59 PM Pacific
Bargaining Unit: 92

Description

Under general direction, to manage, direct and coordinate a billing, collection, cash, data, and/or system unit or units within the Santa Clara Valley Health and Hospital System (SCVHHS) Patient Business Services (PBS).
Typical Tasks

• Manages the billing and collection operations within SCVHHS's Patient Business Services;
• Provides key leadership in ensuring SCVHHS's success in meeting its Mission and Values commitment;
• Manages, guides, directs, evaluates, trains, hires and terminates subordinate supervisory and support staff;
• Manages Continuous Quality Improvement program;
• Recommends, develops, implements, interprets and maintains policies and procedures;
• Evaluates, interprets and ensures compliance with Local, State and Federal regulatory requirements, laws and practices related to billing and collections;
• Educates and trains staff and other departments and/or agencies in the areas of healthcare billing and related activities to ensure compliance;
• Develops budget and monitors performance to budget; ensures continuous optimization opportunities;
• Prepares annual goals and objectives; involving subordinates in the process;
• Assists customers, e.g. patients, physicians, department heads, in resolving concerns;
• Develops, monitors, and provides reports regarding accounts receivable and unit performance;
• Serves as an expert resource for SCVHHS on areas of billing, collections, court proceedings, internal and external committees and related activities;
• Attends; facilitates and/or participates in meetings and/or projects involving activities associated with the operational and financial performance of SCVHHS;
• Participates in the analysis and resolution of complex issues relating to billing and collections that could have significant impact on the organization, including working with staff externalto PBS and/or external to SCVHHS;
• Collaborates with technical staff to assess, create, modify and troubleshoot information systems that develop, support, enhance and maintain the operations, processes and performance of the unit;
• Prepares statistical and data reports on a wide range of activities, such as accounts receivable analyses, clinical operations in relation to charging, coding, billing and claim denials;
• May be assigned as a Disaster Service Worker, as required;
• Performs other related duties as required.

Employment Standards

Sufficient education, training and experience to demonstrate possession of the following knowledge and abilities:

Training and Experience Note: The required knowledge and abilities are acquired through training and experience equivalent to possession of a Bachelor's Degree in Health Care Administration, Accounting, Business Administration or related field and three (3) years of administrative, managerial, or supervisory experience in a health care billing and collections department, at least one (1) of which was in a supervisory capacity equivalent to Supervising Patient Business Services Clerk within Santa Clara County.

Certification:
Must obtain appropriate Epic certification within six (6) months of appointment or vacate the position.

Knowledge of:

• Operations of a patient accounting department for a large complex health care facility, including clinic, hospital, ancillary and professional fee billing and collection;
• Principles and practices of organization, management, labor relations, and budget;
• Principles of supervision, employee motivation and training;
• Principles of management analysis;
• Principles of change management;
• Project management;
• Specific assignments will require specialized knowledge of:
  • Local, State and Federal regulatory requirements, laws and practices, policies and procedures related to billing and collections for the area(s) of:
    • Mental Health
    • Public Health
    • Drug and Alcohol
    • Medicare
    • Medi-Cal
    • Insurance
    • Self-pay
• Special County or Federal Programs;
• Third Party Litigation/Subrogation;
• Patient accounting information systems;
• Cash processing and general accounting practices;
• Diagnostic and procedure coding;
• Charge Entry.

Ability to:

• Plan, organize, and direct a complex unit(s) within Patient Business Services;
• Develop and implement new processes and procedures;
• Analyze complex changes in third party payor requirements for impact on hospital operations, make related recommendations, and implement necessary changes;
• Communicate effectively, orally and in writing;
• Prepare clear and concise correspondence and reports;
• Establish and maintain effective working relationships with those contacted in the course of work;
• Motivate and coordinate the activities of groups, including groups that may not have a direct reporting relationship;
• Analyze work processes internally and across multidisciplinary areas to ensure maximum efficiency and compliance;
• Analyze budgetary and staffing requirements and make recommendations;
• Prioritize conflicting projects, issues and responsibilities.

The County offers comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents, including plans with no deductibles, no co-pays, no co-insurance, and no prescription drug co-pays. Learn more

The County also offers generous paid time off with significant vacation, sick time, and 13 paid County holidays annually! Details are included in the with the bargaining unit applicable to the job classification.

In addition to the amazing perks above, the County also offers the additional benefits below.

Retirement Benefits
The County offers robust retirement plans including a (similar to the private sector's 401(k) plan) and the In addition to lifetime retirement income available through the CalPERS pension plan, the 457(b) Deferred Compensation plan provides a great way to save for retirement and supplement the defined benefit pension available to employees. These plans help our employees build a plan for their future and contribute to their family's long-term financial well-being.

Health Flexible Spending Account
The empowers employees to manage healthcare expenses efficiently with tax-free contributions (up to $3,200 for the 2024 calendar year). Secure tax-free solutions for your healthcare expenses and enjoy the flexibility to manage your healthcare finances effectively with the HFSA.

Dependent Care Assistance Program (DCAP)
The enables employees to utilize tax-free funds for dependent care services, facilitating a convenient and cost-effective approach for managing your dependent care expenses. The County also offers the , an employer-funded DCAP, for employees with annual income under $120,000.

Life and AD&D
The County offers life and disability benefits including , Insurance, These benefits ensure financial security and income support when you and your family need it most.

Employee Assistance Program (EAP)
The County prioritizes employee mental health and well-being and offers a top-tier through Concern providing confidential counseling sessions covering stress, anxiety, relationships, grief, as well as financial/legal services, personal coaching, child and elder care referrals, and comprehensive crisis support.

Employee Wellness
The offers free wellness programing, fitness classes and resources; including Elevate My Wellness an all-in-one platform designed to elevate your well-being journey.

Education Reimbursement
A generous program is available, including Education Reimbursement for employees seeking additional training and professional development.

NOTE: Benefit and Retirement information may vary from bargaining unit to bargaining unit. Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts.

Click here to access all Memoranda of Understanding and most recent Summary of Changes.
01

Please answer the following questions. Completion of the following supplemental questions is REQUIRED and is an integral part of the evaluation process. Initially, it will be used to determine minimum qualifications. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process. Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete as possible, as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun. A response of "see resume" or "see application" will deem your application incomplete. Include a detailed description of your work experience in the following format for EACH employer referenced, in each answer:
a) Employer Name
b) Job Title
c) Start Month/End Month Dates of Employment
d) Total Hours Worked per Week
e) Detailed Description of Job DutiesDo you understand the requirement to provide complete answers in order to determine relevant experience for each area in question?

• Yes
• No

02

What is the highest level of education you have completed?

• High School or GED equivalent
• College (1 to 29 semester units / 1 to 44 quarter units)
• College (30 to 59 semester units / 45 to 89 quarter units)
• College (60 to 89 semester units / 90 to 134 quarter units)
• College (90 to 119 semester units / 135 to 179 quarter units)
• College (120 or more semester units / 180 or more quarter units)
• Associate's Degree
• Bachelor's Degree
• Master's Degree
• Doctoral Degree
• None of the above

03

Please specify the field of study for your college unit(s) and/or degree(s)? If None, please type N/A.
04

How many years of experience do you have in an administrative, managerial, or supervisory experience in a health care billing and collections department?

• None
• Less than one year
• One but less than two years
• Two but less than three years
• Three but less than four years
• Four but less than five years
• Five years or more

05

Please describe your administrative, managerial, or supervisory experience in a health care billing and collections department. Include name of employer, job title, dates of employment, hours worked per week. If selected None in the above question, type N/A.
06

How many years of experience do you have in Medicare, Medi-Cal, and other Insurance Billing?

• None
• Less than one year
• One to less than three years
• Three to less than five years
• Five or more years

07

Please describe your Medicare, Medi-Cal, and other Insurance Billing experience. If selected None in the question above, type N/A.Be sure to include the name of employer, dates of employment, job title, duties performed, and hours worked per week.
08

Please select the supervisory experience you have from below list. If you don't have any, please select None.

• Supervised the billing and follow up in a Medical Clinic
• Supervised the billing and follow up in a Hosptial
• Supervised Professional billing and collections
• Supervised Hospital billing and collections
• Supervised Ancillary billing and collections
• Supervised Federally Qualified Health Center (FQHC) billing and collections
• None of the above

09

Please describe the supervisory experience you have selected above. If selected None of the above, type N/A. Be sure to include name of employer, dates of employment, job title, duties performed, and hours worked per week.
10

How did you find out about this job?

• Contacted by County Recruiter
• Contacted by a Recruitment Firm
• County Employee Referral
• County of Santa Clara Career Website
• County of Santa Clara Job Interests Email Notification
• Facebook
• Instagram
• LinkedIn
• Indeed
• Virtual Job Fair
• In Person Job Fair
• In-Person Networking Professional Event
• Virtual Networking Event
• Community Event
• Glassdoor
• Governmentjobs.com
• Professional Association
• Search Engine (Google, Bing, online search, etc.)
• Hospital Website: SCVMC, O'Connor Hospital, St. Louise Regional Hospital Website
• Handshake
• Student Career Center
• County Text Message
• County Career Newsletter
• Other (Specify in the next question)

11

If you selected an event/fair or other in the question above, please specify. If not, type N/A.
Required Question