| Location | San Mateo, CA |
| Salary | $79,352–$99,236.80 Per Year |
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:
Skill/Ability to:
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:
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 Countys website, you may click the "Apply" button. If you are not on the Countys 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.
About the County
San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.
The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.
The County of San Mateo is an equal opportunity employer committed to fostering diversity, equity, and inclusion at all levels.
Analyst: Debbie Kong (10232026) (Patient Services Specialist - E414)
We invite you to explore our Benefits-at-a-Glance 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.
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.)
Required Question
Employer County of San Mateo
Address County of San Mateo Human Resources Department
500 County Center, 4th Floor
Redwood City, California, 94063-1663
Phone (650) 363-4343
Website https://jobs.smcgov.org