Hospital Billing and Follow Up Specialist (Open & Promotional)

Job Description

Description

Through growth and change, the San Mateo Medical Center (SMMC) remains committed to providing quality and compassionate medical care to meet the health needs of the community. Located in San Mateo, California, the SMMC is an acute care facility providing healthcare to our community and surrounding service area since 1930.

The San Mateo Medical Center is seeking an experienced Hospital Billing and Follow Up Specialist to perform difficult, technical, complex billing functions and business services support work. The successful incumbents will research and compliantly follow up on denied claims for services provided at SMMC hospital and clinics. Researching varies payer guidelines and regulations; manage and monitor a caseload of accounts; 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 Hospital Billing and Follow Up Specialist successfully resolves hospital 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.
The ideal candidate will possess:

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  Experience in hospital billing and Medicare account follow-up using EPIC.
  
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  Proven experience with medical claims billing and follow-up, including two years of hospital and/or clinical billing and collections.
  
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  Experience with Medicare and FQHC reimbursement.
  
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  EPIC HER/Resolute experience.
  
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  Knowledge of Medicare Part A and Part B billing requirements.
  
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  Knowledge of hospital inpatient and outpatient billing, including UB-04/837I institutional claims.
  
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  Knowledge of professional and clinic billing, including CMS-1500/837P professional claims.
  
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  Knowledge of Medicare coverage guidelines, medical necessity, and documentation requirements.
  
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  Knowledge of Medicare remittance advice, including CARCs and RARCs, and adjustment reason codes.
  
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  Understanding of contractual adjustments, deductibles, coinsurance, and underpayments.
  
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  Proficiency in the EPIC system.
  
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  Ability to operate standard office equipment, personal computers, telephone equipment, fax machines, and scanners.
  

The current vacancy is a regular, full-time, vacancy.
NOTE: 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

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 San Mateo County, 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 to https://jobs.smcgov.org to apply . Responses to the supplemental questions 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 .

~ TENTATIVE RECRUITMENT SCHEDULE ~
Final Filing Date: Monday, November 23, 2026 11:59PM PST
Application Screening: Week of November 30, 2026
Combined Civil Service Panel and Department Interviews: Week of December 14, 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 in order 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.

San Mateo County is an equal opportunity employer committed to fostering diversity, equity, and inclusion at all levels.


Analyst: Debbie Kong (10282026) (Patient Services Specialist - E414)