If you have knowledge of basic medical terminology and electronic medical and institutional billing experience in a healthcare environment, then come join the
San Joaquin General Hospital Patient Accounting Department's team of professionals.The Office Assistant Specialist-Billing is responsible for hospital institutional, outpatient billing, and reimbursement processes.Ideal candidates will possess hospital and clinic billing experience; knowledge of billing codes; extensive knowledge of claim forms (1500 and UB04); Medi-Cal, Medicare, Commercial Payers PPO's and HMO's; and knowledge of government billing regulations.
The recruitment is being conducted to fill two full-time and one part-time vacancies and to establish an eligible list to fill future vacancies.
San Joaquin General Hospital (SJGH)is a public hospital and a designated level III Trauma Center.
The hospital, originally established in 1857, is a 196-bed general acute care facility providing a full range of both inpatient and outpatient services.
SJGH's friendly staff works hard to provide the highest quality services to the residents of San Joaquin County.
To learn more about the department, visit . Resumes will not be accepted in lieu of an application.
A completed application must be postmarked or received online by the final filing deadline.
NOTE: All correspondences relating to this recruitment will be delivered via e-mail.
The e-mail account used will be the one provided on your employment application during time of submittal.
Please be sure to check your e-mail often for updates.
If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail.
TYPICAL DUTIES Reviews accounts for accurate billing information including required patient and payer specific documentation and charges.
Determines when accounts are billable.
Ascertains that the proper authorizations were obtained per various payer and utilization review guidelines and that the length of stay matches approved and denied days.
Reviews claims by accessing the most current version of the UB and CMS 1500 editors.
Processes claims either electronically to Medicare, Medi-Cal, Managed Care, Commercial payers or queue to print accurately to intermediaries and/or third parties according to applicable rules and regulations based on payer and Business Office protocols.
Generates claims for such special circumstances as "stop less," interim or cycle bills or other payer driven provisions.
Processes late charges after determining the impact on reimbursement.
Bills "stop less" accounts and individual contract accounts according to department policy as well as insurance/government contract provisions.
Provides timely and effective follow-up and resolution on unpaid, underpaid and overpaid government, third party, and patient balances through the use of the Aged Trial Balance reports, tickler files, and directives from Supervisor or Manager.
Performs various patient account maintenance functions, such as refunds, adjustments, transfers between accounts, address changes, etc.
Analyzes the transaction to identify and process corrections for errors or omissions made in the processing of payment and adjustments.
Analyzes and determines who should receive the refund(s) and the amount(s) and prepares a refund request for supervisory approval and submission Accounts Payable for processing.
Serves as a resource to patients, payers, peers and other departments in the processing and resolution of billing related functions and tasks.
Performs other related work as required/assigned.
MINIMUM QUALIFICATIONS Note : Supplemental application must be submitted with employment application.
Note : The following special requirements were approved by the Civil Service Commission on October 11, 2017.
Either I Experience : One year of work at a level equal to or higher than Senior Office Assistant in San Joaquin County service which included electronic billing and follow-up in a medical or healthcare setting . Or II Experience : Three years of experience performing medical billing, including at least two years of functioning at a full-journey level performing Medi-Cal and/or Medicare electronic billing for a hospital or a high volume professional practice . KNOWLEDGE Billing and collection rules and regulations including Medicare, Medi-Cal, insurance companies; knowledge of basic arithmetic; bookkeeping and account reconciliation procedures and techniques, general hospital operations and business practices, correspondence and documentation procedures; knowledge of computer-based patient accounting management systems; knowledge of medical terminology and familiarity with current diagnostic and procedure coding.
ABILITY Research, interpret and apply complex laws/regulations; third-party reimbursement rules/requirements related to hospital patient accounting practices and procedures; evaluate and establish priorities; gather, organize, input and maintain complex information; follow complex oral and written procedures and directions; establish and maintain effective working relationships with others; communicate effectively with others; write clearly and legibly; perform advanced arithmetical operations; may train, lead or supervisor others.
PHYSICAL/MENTAL REQUIREMENTS Mobility
Frequent operation of a data entry device, repetitive motion, sitting for long periods, walking; occasional standing, pushing, pulling, bending, squatting, climbing; Lifting
Frequently 5 pounds or less; occasionally 5 to 30 pounds; Visual
Constant good overall vision and reading/close-up work; frequent color perception and use of eye/hand coordination; occasional use of depth perception and peripheral vision; Hearing/Talking
Frequent hearing of normal speech, hearing/talking on the telephone, talking in person; Emotional/Psychological
Frequent decision making, concentration, and public contact; Special Requirements
Some assignments may require working weekends, nights, and/or occasional overtime; Environmental
Occasional exposure to varied weather conditions . BENEFITS Employees hired into this classification are members of a bargaining unit which is represented bySEIU Local 1021 . Health Insurance : San Joaquin County provides employees with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan.
Employees pay a portion of the cost of the premium.
Dependent coverage is also available.
Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan.
There is no cost for employee only coverage in either plan; dependent coverage is available at the employee's expense.
Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee's expense.
For more detailed information on the County's benefits program, visit our website at under Human Resources/Employee Benefits.
Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employee may purchase additional term life insurance at the group rate.
125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Law of 1937.
Please visit the San Joaquin County Employees' Retirement Association (SJCERA) at for more information.
NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees' Retirement Act of 1937 or from any governmental agency covered by the California Public Employees' Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance.
Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code.
You may annually contribute $18,000 or 100% of your includible compensation, whichever is less.
Individuals age 50 or older may contribute to their plan, up to $24,000.
The Roth IRA (after tax) is also now available.
Vacation : Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years.
Holidays : Effective July 1, 2017, all civil service status employees earn 14 paid holidays each year.
Please see the appopriate MOU for details regarding holidays, accruals,use, and cashability of accrued time.
Sick Leave : 12 working days of sick leave annually with unlimited accumulation.
Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one- half of the cumulative amount that the employee is eligible to accrue.
The employee must also be on payroll during the entire calendar year.
Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee's spouse, domestic partner, parent or child.
Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range.
After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step.
Job Sharing : Employees may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources.
Educational Reimbursement Program : Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year.
Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year.
Parking Supplemental Downtown Stockton: The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area.
School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children's school activities.
Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format.
If the written exam is administered alone, it will be 100% of the overall score.
Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
Oral Exam : The oral exam is a structured interview process that will assess the candidate's education, training, and experience and may include a practical exercise.
The oral exam selection process is not a hiring interview.
A panel of up to four people will determine the candidate's score and rank for placement on the eligible list.
Top candidates from the eligible list are referred for hiring interviews.
If the oral exam is administered alone, it will be 100% of the overall score.
Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement.
Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list.
Rate-out: A rate-out is an examination that involves a paper rating of the candidate's application using the following criteria: education, training, and experience.
Candidates will not be scheduled for the rate-out process.
Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points.
Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at prior to the examination date.
Veteran's Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran's points in initial appointment to County service.
Eligible veterans receive 5 points and eligible disabled veterans receive 10 points.
Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration.
Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination.
Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation.
Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification.
Eligible lists are effective for one year, but may be extended up to two additional years by the Civil Service Commission.
Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods.
Rule of the Rank: The top three ranks will be referred for hiring interviews.
If there are less than 5 names in the top three ranks the next rank is referred.
This applies only to open competitive recruitments.
Rule of Five: The top five names will be referred for hiring interviews.
This applies only to department or countywide promotional examination.
Physical Exam: Some classifications require physical examinations.
Final appointment cannot be made until the eligible has passed the physical examination.
The County pays for physical examinations administered in its medical facilities.
Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment.
Final appointment cannot be made until the eligible has passed the drug screen.
The County pays for the initial drug screen.
Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other.
Department Head may establish additional limitations on the hiring of relatives by departmental rule.
Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S.
citizenship or other documents that establish your eligibility to be employed in the U.S.
HOW TO APPLY Apply Online: By mail or in person: San Joaquin County Human Resources 44 N.
San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday
Friday 8:00 am to 5:00 pm; excluding holidays.
Phone: Job Line: For currentemployment opportunitiesplease callour 24-hour job line at . When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m.
or postmarked by the final filing date.
Resumes will not be accepted in lieu of an application.
Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted.
( The County assumes no responsibility for mailed applications which are not received by the Human Resources
San Joaquin County