Patient Business Services Clerk - County of Santa Clara (CA) : Job Details

Salary : $64,827.36 - $78,278.72 Annually Location : Throughout the County of Santa Clara, CA Job Type: Full-Time/Part-Time Job Number: 24-D48-A Department: Santa Clara Valley Health Care - Valley Medical Center Division: Patient Accounting Opening Date: 12/09/2024 Closing Date: 12/20/2024 11:59 PM Pacific Bargaining Unit: 02 Description Under supervision, to maintain complex and varied acute care and outpatient medical accounts primarily through either (1) a billing and accounts adjusting role, or (2) a collecting and problem accounts researching role. Typical Tasks

• Reviews, checks, researches, and completes pre-billing information in order to prepare billing statements for patients and other payors;
• Compares summary claims against detailed itemization of charges;
• Combines inpatient and outpatient accounts of individual patients;
• Initiates various adjustments and transfers within patient accounts receivable;
• After payment by a primary payor, calculates leftover charges and bills secondary payor;
• Adjusts accounts, justifies, and totals designated uncollectible charges or bills;
• Breaks down charges as billable or not according to various insurance coverage;
• Reviews prepared bills for errors;
• Researches and reopens closed accounts in order to apply further payments received;
• Researches individual accounts to determine whether over-payments can be applied to another account, or to another agency, or should be refunded;
• Researches accounts subject to bankruptcy proceedings and determines whether to adjust account balances or assign for collection externally;
• Reviews insurance covered accounts to ensure that claims were valid, compliant with regulatory requirements, properly submitted, correctly paid and that remaining liabilities are appropriately assigned;
• Researches a variety of billing, accounts, and remittance records in order to track and explain account problems and discrepancies in response to inquiries and complaints;
• Notifies patients of their liability when uninsured or when insurance does not cover entire charges, and prepares reimbursement plans;
• Determines whether to refer a delinquent account to collection agency or to recycle it for review in the next period;
• Assists in orienting new employees to procedures and assignments in the unit;
• May prepare spread sheets on more complicated accounts;
• May interview patients to determine ability to pay and to establish a payment plan or assist in completing forms and paperwork;
• Performs other related duties as required.

Employment Standards Demonstrated education, training, or clerical work experience which has provided an opportunity to acquire the following knowledge and abilities: Experience Note: Normally a candidate would acquire the qualifications listed below through six months of clerical billing, collection or accounting work within the department, or one year of similar experience in a medical setting outside of the County's medical services. Knowledge of:

• Medical terminology and insurance claim procedures common to medical billing and accounts receivable operations;
• Billing and account records maintenance procedures;
• Modern office administrative practices and procedures including computer skills;
• Purpose and use of International Classification of Disease Standards;
• Purpose and use of the Concurrent Procedure Terminology;
• Principles and practices of customer service and telephone courtesy;
• Legal requirements of State, Federal and SCVH&HS Policies and Procedures related to billing and collection activity and the release of confidential patient information;

Ability to:

• Operate a ten key adding machine;
• Make arithmetical computations of moderate difficulty;
• Understand and apply moderately complex medical services, insurance, and billing or accounts maintenance relationships, rules and procedures;
• Type simple forms and schedules;
• Establish and maintain effective working relationships with all levels of medical, professional, administrative and support personnel contacted in the course of work;
• In some assignments research, explicate, and prepare spread sheets on complex billing, accounts receivable, and insurance coverage records;
• In some assignments, interview in order to gather specific information regarding problem accounts and explain the accounts clearly;
• In some assignments, evaluate ability to pay and prepare routine payment plans.

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

03 Please specify the field of study for your highest level of education. 04 How many years of clerical billing, collection, or accounting work experience in a medical setting do you possess?

• 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 experience performing clerical billing, collection, or accounting work experience in a medical setting. Please include the name of employer, job title, duties performed, dates of employment, and number of hours worked per week. If none, type n/a. 06 How many applicable certifications for Patient Business Services Clerk do you have?

• None
• One
• Two
• Three or more

07 Please select the applicable certifications that you possess.

• Certified Professional Coder + Certified Professional Biller
• Certified Professional Biller
• Certified Coding Associate
• Certified Professional Coder
• Certified Coding Specialist
• Certified Coding Specialist - Physician Based
• N/A

08 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
• Other (Specify in the next question)

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