Patient Services Supervisor - Hospital Billing and Follow Up (Open & Promotional
County of San Mateo, CA, Redwood City, CA, United States
Salary :
$94,432.00 - $118,040.00 Annually
Location :
County of San Mateo, CA
Job Type:
Full-Time
Job Number:
E415AF
Department:
San Mateo Medical Center
Opening Date:
03/16/2026
Bargaining Unit:
37
Description
Note: This recruitment schedule was amended on April 1, 2026 to extend the Final Filing Date. This recruitment has been changed to "Continuous."
The
San Mateo Medical Center's Patient Financial Services Department
is seeking a qualified individual for the position of
Patient Services Supervisor - Hospital Billing and Follow Up .
The Patient
Services Supervisor-Hospital Billing and Follow Up
is responsible for:
Supervising and managing A/R (accounts receivable) follow-up staff.
Ensuring timely and effective insurance and patient account collections.
Monitoring staff productivity, quality, and adherence to departmental goals.
Providing training, coaching, and performance evaluations for team members.
Assigning workloads and prioritizing accounts based on aging and payer guidelines.
Ensuring timely follow-up on unpaid claims with insurance companies, government agencies, and patients.
Reviewing and resolving complex billing issues, denials, and underpayments.
Supervising and analyzing denial trends and implementing corrective actions.
Coordinating with coding, billing, and clinical departments to resolve claim issues and ensure accurate documentation and resubmission of denied claims.
Preparing and reviewing A/R performance, aging, and productivity reports; tracking key performance indicators, such as Days in A/R, denial rate, and cash collection.
Ensuring timely management of provider enrollment for Medicare and Medi-Cal payers.
This
Full-Time, Regular
vacancy is located in South San Francisco, and the successful hire will travel throughout the County for supervision meetings, etc.
The
ideal candidate
will have at least four years of experience in hospital billing and follow up functions; be able to plan, organize, prioritize and supervise the work of hospital follow up effectively; supervise staff conducting patient billing and follow up activities; work independently with minimal supervision using initiative and sound independent judgment within established guidelines; read, interpret and apply rules, policies and procedures; maintain accurate records and files; organize work, set priorities and meet critical deadlines; communicate effectively and establish and maintain effective positive working relationships with those contacted in the course of work; and demonstrate experience working with diverse client groups and staff.
NOTE:
The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.
Examples Of Duties
Duties may include, but are not limited to, the following:
Supervise and direct patient services office support and business office support staff and activities.
Plan, schedule and assign office support work in admitting, registration and program billing areas.
Participate in the hiring of assigned staff, recommending selection for management approval.
Train assigned staff in patient services office support, business office and County procedures and policies.
Evaluate employee performance, counsel employees, and effectively recommend initial corrective actions and other personnel decisions.
Provide input into the budget and goal setting processes.
Research and compile information from a variety of sources for the completion of forms or the preparation of periodic and special reports.
Provide information to the public or to County staff that requires the use of judgment and the interpretation and application of policies, rules or procedures.
Organize and maintain various patient intake, insurance billing or general files; type draft or finished materials from dictated tapes or brief instructions using a typewriter or word processor; proofread material as required.
Develop, recommend and implement improved operating procedures, forms and work processes.
Oversee and personally perform a variety of office administrative details such as ordering supplies, arranging for the repair of equipment, transmitting information, and keeping reference materials up to date; operate standard office equipment.
Perform complex, technical, difficult and/or specialized office support related to the patient services or business office area.
Provide off hours support as required.
Perform related duties as assigned.
Qualifications
Knowledge of:
Supervisory principles and practices, including work planning, scheduling, review and evaluation and employee training and corrective action.
Policies, procedures and medical terminology related to the organizational area to which assigned.
Applicable laws, ordinances, rules and regulations.
Business office management practices and procedures, including records management and the operation of standard office equipment.
Business arithmetic, including percentages and decimals.
Correct English usage, including spelling, grammar and punctuation.
Business data processing principles and the use of word processing or computing equipment.
Skill/Ability to:
Plan, assign, supervise, review and evaluate the work of others.
Train others in work procedures.
Analyze and resolve office administrative problems.
Read, interpret and apply rules, policies and procedures.
Organize, research and maintain patient and general files.
Compose routine correspondence independently or from brief instructions.
Use initiative and sound independent judgment within established guidelines.
Establish and maintain effective working relationships with those contacted in the course of the work.
Organize and prioritize work, meet critical deadlines and follow up on assignments with a minimum of supervision.
Operate standard office equipment, including a word processor, computer terminal and centralized telephone equipment.
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:
Four years of patient services assistant experience providing office support in a medical or clinic setting.
Application/Examination
Open & Promotional. Anyone may apply . Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.
The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination.
All examinations will be given in the County of San Mateo, California and applicants must participate at their own expense.
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 toto apply. A supplemental application form must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.
Online applications must be received by the Human Resources Department before midnight on the final filing date.
This is a continuous recruitment which may close at any time. The final filing date will be posted 5 days in advance in the County of San Mateo Human Resources Department.
Apply immediately. This recruitment is open on a continuous basis and selections may be made at any time within the process.
TENTATIVE RECRUITMENT SCHEDULE
Final Date for Filing: Wednesday, April 1, 2026, at 11:59PM PST
Application Screening: Thursday, April 2-7, 2026
Combined Civil Service/Department Interviews: Week of April 20, 2026
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.
We seek to hire, support, and retain employees who reflect our diverse community.
We encourage applicants with diverse backgrounds and lived experiences to apply.
HR Contact: Debbie Kong (03162026) (Patient Services Supervisor E415)
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 supplemental questions below. Your responses will provide detailed information about your background and experience related to this position.
This information will weigh heavily in the application screening by the subject matter experts and will also be used in the selection process.
Answer the questions completely, paying attention to the multi-parts of the questions. While being thorough and detailed, also be concise. Your strategic use of language as well as neatness, clarity of expression, attention to detail, proper use of grammar and the ability to follow instructions will be considered in the evaluation process.
A resume will not be accepted as a substitute for your responses.
I have read and understand this important information. Proceed to supplemental questions.
02
Describe in detail, your supervisory experience. Include a) your title; b) the titles of staff you supervised; c) the number of staff supervised; and d) the period of time in that job.
03
Describe your experience planning, assigning and supervising the work of staff conducting admitting, registration and/or billing functions in a healthcare setting. For each example include a) your title; b) your responsibilities; c) the functions being performed by staff; and d) the setting.
04
Describe your experience using patient accounting systems in a healthcare setting. For each system include a) the program name; b) what the program was used for; c) the type of data entered and/or searched for; and d) the documentation produced.
05
Describe your work experience with diverse client populations and staff. For each experience include a) your role, b) the types of clients and staff, and c) the types of diversity.
06
Describe your experience with hospital billing and collections.
07
How did you learn about this position?
County of San Mateo Website
County of San Mateo Job Interest Card Notification
County Hosted Virtual Event
County Hosted Job Fair
CalOpps.org
College/University Career Center
Community-based Organization Posting
Facebook/Instagram
Friend or Relative
GovernmentJobs.com
Indeed
Job Fair
LinkedIn
Professional Publication/Website (Please specify in next question)
X (formerly called Twitter)
Zip Recruiter
Other (Please specify in next question)
08
If you answered, "Professional Publication/Website" or "Other" to the above question, please indicate below how you learned about this position. Your response to this question will help us in better marketing County jobs. Type NA if not applicable.
Required Question
$94,432.00 - $118,040.00 Annually
Location :
County of San Mateo, CA
Job Type:
Full-Time
Job Number:
E415AF
Department:
San Mateo Medical Center
Opening Date:
03/16/2026
Bargaining Unit:
37
Description
Note: This recruitment schedule was amended on April 1, 2026 to extend the Final Filing Date. This recruitment has been changed to "Continuous."
The
San Mateo Medical Center's Patient Financial Services Department
is seeking a qualified individual for the position of
Patient Services Supervisor - Hospital Billing and Follow Up .
The Patient
Services Supervisor-Hospital Billing and Follow Up
is responsible for:
Supervising and managing A/R (accounts receivable) follow-up staff.
Ensuring timely and effective insurance and patient account collections.
Monitoring staff productivity, quality, and adherence to departmental goals.
Providing training, coaching, and performance evaluations for team members.
Assigning workloads and prioritizing accounts based on aging and payer guidelines.
Ensuring timely follow-up on unpaid claims with insurance companies, government agencies, and patients.
Reviewing and resolving complex billing issues, denials, and underpayments.
Supervising and analyzing denial trends and implementing corrective actions.
Coordinating with coding, billing, and clinical departments to resolve claim issues and ensure accurate documentation and resubmission of denied claims.
Preparing and reviewing A/R performance, aging, and productivity reports; tracking key performance indicators, such as Days in A/R, denial rate, and cash collection.
Ensuring timely management of provider enrollment for Medicare and Medi-Cal payers.
This
Full-Time, Regular
vacancy is located in South San Francisco, and the successful hire will travel throughout the County for supervision meetings, etc.
The
ideal candidate
will have at least four years of experience in hospital billing and follow up functions; be able to plan, organize, prioritize and supervise the work of hospital follow up effectively; supervise staff conducting patient billing and follow up activities; work independently with minimal supervision using initiative and sound independent judgment within established guidelines; read, interpret and apply rules, policies and procedures; maintain accurate records and files; organize work, set priorities and meet critical deadlines; communicate effectively and establish and maintain effective positive working relationships with those contacted in the course of work; and demonstrate experience working with diverse client groups and staff.
NOTE:
The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.
Examples Of Duties
Duties may include, but are not limited to, the following:
Supervise and direct patient services office support and business office support staff and activities.
Plan, schedule and assign office support work in admitting, registration and program billing areas.
Participate in the hiring of assigned staff, recommending selection for management approval.
Train assigned staff in patient services office support, business office and County procedures and policies.
Evaluate employee performance, counsel employees, and effectively recommend initial corrective actions and other personnel decisions.
Provide input into the budget and goal setting processes.
Research and compile information from a variety of sources for the completion of forms or the preparation of periodic and special reports.
Provide information to the public or to County staff that requires the use of judgment and the interpretation and application of policies, rules or procedures.
Organize and maintain various patient intake, insurance billing or general files; type draft or finished materials from dictated tapes or brief instructions using a typewriter or word processor; proofread material as required.
Develop, recommend and implement improved operating procedures, forms and work processes.
Oversee and personally perform a variety of office administrative details such as ordering supplies, arranging for the repair of equipment, transmitting information, and keeping reference materials up to date; operate standard office equipment.
Perform complex, technical, difficult and/or specialized office support related to the patient services or business office area.
Provide off hours support as required.
Perform related duties as assigned.
Qualifications
Knowledge of:
Supervisory principles and practices, including work planning, scheduling, review and evaluation and employee training and corrective action.
Policies, procedures and medical terminology related to the organizational area to which assigned.
Applicable laws, ordinances, rules and regulations.
Business office management practices and procedures, including records management and the operation of standard office equipment.
Business arithmetic, including percentages and decimals.
Correct English usage, including spelling, grammar and punctuation.
Business data processing principles and the use of word processing or computing equipment.
Skill/Ability to:
Plan, assign, supervise, review and evaluate the work of others.
Train others in work procedures.
Analyze and resolve office administrative problems.
Read, interpret and apply rules, policies and procedures.
Organize, research and maintain patient and general files.
Compose routine correspondence independently or from brief instructions.
Use initiative and sound independent judgment within established guidelines.
Establish and maintain effective working relationships with those contacted in the course of the work.
Organize and prioritize work, meet critical deadlines and follow up on assignments with a minimum of supervision.
Operate standard office equipment, including a word processor, computer terminal and centralized telephone equipment.
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:
Four years of patient services assistant experience providing office support in a medical or clinic setting.
Application/Examination
Open & Promotional. Anyone may apply . Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.
The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination.
All examinations will be given in the County of San Mateo, California and applicants must participate at their own expense.
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 toto apply. A supplemental application form must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.
Online applications must be received by the Human Resources Department before midnight on the final filing date.
This is a continuous recruitment which may close at any time. The final filing date will be posted 5 days in advance in the County of San Mateo Human Resources Department.
Apply immediately. This recruitment is open on a continuous basis and selections may be made at any time within the process.
TENTATIVE RECRUITMENT SCHEDULE
Final Date for Filing: Wednesday, April 1, 2026, at 11:59PM PST
Application Screening: Thursday, April 2-7, 2026
Combined Civil Service/Department Interviews: Week of April 20, 2026
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.
We seek to hire, support, and retain employees who reflect our diverse community.
We encourage applicants with diverse backgrounds and lived experiences to apply.
HR Contact: Debbie Kong (03162026) (Patient Services Supervisor E415)
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 supplemental questions below. Your responses will provide detailed information about your background and experience related to this position.
This information will weigh heavily in the application screening by the subject matter experts and will also be used in the selection process.
Answer the questions completely, paying attention to the multi-parts of the questions. While being thorough and detailed, also be concise. Your strategic use of language as well as neatness, clarity of expression, attention to detail, proper use of grammar and the ability to follow instructions will be considered in the evaluation process.
A resume will not be accepted as a substitute for your responses.
I have read and understand this important information. Proceed to supplemental questions.
02
Describe in detail, your supervisory experience. Include a) your title; b) the titles of staff you supervised; c) the number of staff supervised; and d) the period of time in that job.
03
Describe your experience planning, assigning and supervising the work of staff conducting admitting, registration and/or billing functions in a healthcare setting. For each example include a) your title; b) your responsibilities; c) the functions being performed by staff; and d) the setting.
04
Describe your experience using patient accounting systems in a healthcare setting. For each system include a) the program name; b) what the program was used for; c) the type of data entered and/or searched for; and d) the documentation produced.
05
Describe your work experience with diverse client populations and staff. For each experience include a) your role, b) the types of clients and staff, and c) the types of diversity.
06
Describe your experience with hospital billing and collections.
07
How did you learn about this position?
County of San Mateo Website
County of San Mateo Job Interest Card Notification
County Hosted Virtual Event
County Hosted Job Fair
CalOpps.org
College/University Career Center
Community-based Organization Posting
Facebook/Instagram
Friend or Relative
GovernmentJobs.com
Indeed
Job Fair
Professional Publication/Website (Please specify in next question)
X (formerly called Twitter)
Zip Recruiter
Other (Please specify in next question)
08
If you answered, "Professional Publication/Website" or "Other" to the above question, please indicate below how you learned about this position. Your response to this question will help us in better marketing County jobs. Type NA if not applicable.
Required Question