Public Health Programs Billing Specialist - Limited Term

Salary : $79,352.00 - $99,236.80 Annually
Location : County of San Mateo, CA
Job Type: Limited Term
Job Number: POSTING ONLY (E414)
Department: San Mateo Medical Center
Opening Date: 10/26/2026
Bargaining Unit: 37

Description
Family Health Services and Public Health, Policy and Planning are seeking an experienced Public Health Programs Billing Specialist to perform difficult, technical, complex billing functions along with data entry and business services support work. The successful incumbents will research and compliantly bill for services provided public health clinics using a third-party claim editing system according to various payer guidelines and regulations; manage and monitor a caseload of accounts; research and resolve billing questions with fiscal intermediaries, physicians, and others; enter, retrieve, and interpret data using a hospital billing system; prepare reports and maintain accurate records. The Public Health Programs Billing Specialist successfully bills and resolves clinics and physician claims while adhering to HIPAA and payer regulation. Lead direction of others is not a regular part of the job, although project or relief leadership may be required.

This position is unique in that it will report to the San Mateo Medical Center's Patient Financial Services team, which provides billing support to public health programs such as California Children's Services and Edison and Mobile Clinics which are organizationally located within the divisions of Family Health Services and Public Health, Policy and Planning, respectively. Ability to understand program requirements and workflows and translate billing requirements to program staff is key.

The ideal candidate will possess:

• Proven experience with medical claims billing and follow-up, including two years of hospital and/or clinical billing and collections.
• Experience with Medicare, Medi-Cal, and Commercial insurance billing and follow-up guidelines.
• Excellent written and oral communication skills, and solid organization skills.
• Ability to establish and maintain effective working relationships with program staff, internal and external department staff, and respective payer representatives.
• Familiarity with various Patient Accounting/Billing Systems: EPIC, Invision/OAS, Data Systems Group Claims editing, and Colburn Hill follow-up system.
• Proficiency in Microsoft Excel and Word.
• The ability to resolve complex accounting.
• Ability to resolve patient concerns regarding their accounting.
• Knowledge of Governmental payer policies and regulations.
• Operate standard office equipment, personal computer, telephone equipment, fax machine, and scanner.

This position is a limited-term, full-time vacancy. The work schedule is Monday through Friday, with 8-hour workdays scheduled between 6:30 a.m. and 5:00 p.m.

NOTE: This is a limited term, at-will position.Limited Term Employees are assigned to assignments not to exceed three years. They receive medical and dental benefits, similar to regular employees, and a defined contribution retirement plan.The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Qualifications

Knowledge of:

• Medical terminology as related to patient services support work.
• Policies and procedures related to patient services, office support and hospital or clinic business office activities.
• Office administrative practices and procedures, including filing and the operation of standard office equipment.
• Basic business data processing principles and the use of word processing or computing equipment.
• Proper form for typed materials.
• Business arithmetic, including percentages and decimals.
• Correct English usage, including spelling, grammar and punctuation.
• Record keeping principles and procedures.

Skill/Ability to:

• Perform technical, specialized, complex or difficult patient services office support work.
• Organize, prioritize and coordinate work activities.
• Read, interpret and apply rules, policies and procedures.
• Organize, research and maintain patient and general office files.
• Establish and maintain effective working relationships with those contacted in the course of the work.
• Compose routine correspondence from brief instructions.
• Make arithmetic calculations with speed and accuracy.
• Use initiative and sound independent judgment within established guidelines.
• Operate standard office equipment, including a word processor, personal or on-line computer, and centralized telephone equipment.

Note: Specific positions may require the ability to type at a rate of 40 net words per minute from printed copy.

Education and Experience:Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

• One year of journey level office support experience in a patient services setting.

Application/Examination

This is Limited-Term recruitment. Anyone may apply. Thorough and detailed responses to the supplemental questions must be submitted in addition to the standard San Mateo County employment application. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to https://jobs.smcgov.org to apply.
Apply immediately. Application materials will be accepted until the position is filled. This posting is open on a continuous basis and selection may be made at any time within the process.

Application materials will be reviewed as they are received, and well-qualified candidates will be contacted for an interview.
Analyst: Debbie Kong (10232026) (Patient Services Specialist - E414)
We invite you to explore our page for a snapshot of the comprehensive and competitive benefits available to eligible employees of the County of San Mateo. From health and wellness to financial security, our benefits are designed to support you at every stage of your career. (Please note that benefits are subject to change.)

In addition to core benefits, the County is proud to offer a variety of wellness and professional development programs to help you grow both personally and professionally. Most of these enriching opportunities are available during work hours and come at no cost to you.

As a County employee, you'll also be covered by the federal Social Security system, earning valuable retirement benefits based on your salary and years of service.
01

IMPORTANT: Applicants for this position are required to submit responses to the following supplemental questions. Your responses will give us additional information about your background and experience related to this position and will be used in the selection process. Be concise and specific. Neatness, clarity of expression, grammar, spelling and ability to follow instructions will be considered in the evaluation process. A resume will not be accepted as a substitute for your responses to these questions.

• I have read and understand these instructions.

02

A) List the types of government/ insurance billing and follow-up experience you have. B) Include how you became familiar with each type of government insurance billing. C) Be sure to include any experience with UB-04 and CMS 1500 claim billing.
03

Give one specific work-related example that best demonstrates your ability to resolve a difficult or complex billing problem. A) Why was the problem difficult or complex? B) What did you do? and C) What was the outcome? Be specific.
04

Describe your experience using computer-based patient account software in a healthcare setting. Include the vendor and product names of the software product(s) you have used and the work functions you have performed using the software. Be specific.
05

Please describe your understanding of the hospital revenue cycle. Please include responses to the following: what role does a billing specialist play in the cycle; what is considered compliant billing; what is a remittance advice.
06

County departments sometimes need extra-help (non-benefited) workers. Extra-help appointments are no more than 1040 hours and are not a guarantee for permanent status. Are you interested in extra-help employment? (A "NO" response will not affect your application for permanent employment.)

• Yes
• No

Required Question