Patient Accounting Manager

The Position

Contra Costa Health is offering an excellent opportunity for two (2) Patient Accounting Managers within Contra Costa Health Plan (CCHP). CCHP is a federally qualified, state-licensed, and county-sponsored Health Maintenance Organization (HMO) serving Contra Costa County in the East Bay of the San Francisco Bay Area. Established in 1973, CCHP was the first county-sponsored HMO in the United States and today serves as the largest managed care health plan in Contra Costa County, covering more than 250,000 residents.

CCHP is committed to providing equitable, accessible, and high-quality healthcare to our culturally and linguistically diverse members. Within CCHP, the Patient Accounting Manager will serve as the manager of the CCHP Claims Department, overseeing claims operations to ensure accurate and timely processing, compliance with Medi-Cal, Medicare, and commercial payer requirements, and alignment with the plan’s mission of supporting member and provider needs.

Contra Costa Health Services (CCHS), the broader health system in which CCHP is housed, is the largest department in Contra Costa County with more than 4,000 employees, providing integrated healthcare services and serving as the safety net for low-income and uninsured residents.

We are looking for someone who is:

• Experienced in Managed Care: Brings direct experience in health plan claims operations within a managed care environment
• Knowledgeable in Medicaid and Medicare: Understands Medi-Cal and Medicare program requirements, including billing, payment, and compliance
• A Strong Communicator: Able to clearly explain complex billing and claims issues to staff, providers, and leadership
• Solution-Oriented: Approaches challenges with a positive attitude and a commitment to continuous improvement
• Professional and Collaborative: Excels at working in a team environment while maintaining accountability
• Discreet and Judicious: Exercises good judgment in handling confidential and sensitive matters
• Supportive: Invests in the training, coaching, and professional development of staff

What you will typically be responsible for:

• Managing and supervising claims operations for CCHP, including claims processing, adjustments, and payment integrity
• Selecting, training, evaluating, and monitoring the performance of subordinate personnel, including supervisors and clerical staff
• Overseeing workflows to ensure timely and accurate adjudication of claims across Medi-Cal, Medicare, and commercial lines of business
• Serving as liaison with providers, county healthcare staff, and external stakeholders to resolve claims-related issues
• Ensuring compliance with federal, state, and local regulations as well as managed care, Medi-Cal, and Medicare standards
• Monitoring claims performance metrics, including timeliness, accuracy, and compliance with DHCS (Department of Health Care Services), DMHC (Department of Managed Health Care) requirements, and CMS (Center for Medicare and Medicaid Services)
• Reporting key claims issues, trends, and operational updates to higher management in a timely manner
• Collaborating with Finance, Utilization Management, Compliance, and other divisions to align claims operations with organizational goals

A few reasons you might love this job:

• You will have a direct role in ensuring providers are paid accurately and members’ claims are handled efficiently
• You will work in a dynamic environment with dedicated professionals focused on operational excellence and equity
• You will help support CCHP’s mission of providing high-quality healthcare to the county’s most vulnerable populations
• You will be part of a collaborative, experienced finance and claims team with well-defined processes
• We offer generous benefits and a competitive retirement package

A few challenges you might face in this job:

• Adapting to constantly evolving federal, state, Medi-Cal, and Medicare claims regulations
• Managing multiple, competing deadlines in a high-volume claims environment
• Providing clear and effective communication when conflicts or discrepancies arise
• Maintaining deep knowledge of complex billing and payment requirements across Medicaid, Medicare, and commercial insurance lines

Competencies Required:

• Delivering Results: Meeting organizational goals and customer expectations through accurate, timely claims processing
• Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
• Ownership & Accountability: Holding self and others accountable for high-quality, efficient results
• Handling Stress: Maintaining stability and composure under pressure or competing demands
• Oral Communication: Clearly explaining issues, decisions, and solutions to diverse stakeholders
• Interpersonal Savvy: Building relationships and responding appropriately to the needs of others
• Leadership: Guiding, training, and motivating staff to achieve departmental and organizational goals

Read the complete job description by clicking this link.

The eligible list established from this recruitment may remain in effect for six months.

Minimum Qualifications

Education: Possession of a Bachelor's degree from an accredited college or university with a major in business administration, finance, accounting, health care administration or a closely related field.

Experience: Three (3) years of full-time or its equivalent experience in an administrative, managerial or supervisory position with direct responsibility for delivery of patient business services, patient accounting services, insurance billing services, collection services or patient financial counseling services in a health care services organization.

Substitution for Education:
Possession of an Associate’s Degree or successful completion of sixty (60) semester or ninety (90) quarter units from an accredited college or university, combined with two (2) years of full-time additional qualifying experience, may be substituted for the required Bachelor’s degree; OR Possession and maintenance of one of the following professional certifications: Certified Healthcare Financial Professional (CHFP) issued by the Healthcare Finance Management Association (HFMA) or Certified Patient Account Manager (CPAM) or Certified Clinic Account Manager (CCAM) certifications issued by the American Association Of Healthcare Administrative Management (AAHAM); or Certified Patient Account Technician (CPAT) or Certified Clinic Account Technician (CCAT) combined with additional four (4) years of full-time qualifying experience may be substituted for the required Bachelor's degree.
Substitution for Experience and Education: Five (5) years of full-time or its equivalent experience as an Account Clerk Supervisor in Contra Costa County may be substituted for the required education and experience.

Selection Process

Application Filing and Evaluation: Applicants will be required to complete a supplemental questionnaire at the time of application, applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.Remote Oral Assessment:Candidates who possess the minimum qualifications will be invited to participate in an online oral assessment. The assessment will measure candidates' competencies as they relate to the job. In the assessment, candidates must achieve an average passing score of 70% or higher on each of the competencies, as well as an overall passing score of 70% or higher. These may include but are not limited to: Delivering Results, Legal & Regulatory Navigation, Displaying Ownership and Accountability, Handling Stress, Oral Communication, Oral Communication, Interpersonal Savvy, and Leadership. (Weighted 100%)
TENTATIVE DATES
Remote Oral Assessment: December 30-January 4, 2025

The examination steps noted above may be changed in accordance with the County’s Personnel Management Regulations and accepted selection practices.

For recruitment questions, please contact Health Services Personnel, Recruitment Team at Exams@cchealth.org . For any technical issues, please contact the Government Jobs’ applicant support team for assistance at +1 855-524-5627.
CONVICTION HISTORY
After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment.

DISASTER SERVICE WORKER
All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

EQUAL EMPLOYMENT OPPORTUNITY
It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

To find more information on Benefits offered by Contra Costa County, please go to https://www.contracosta.ca.gov/1343/Employee-Benefits

Closing Date/Time: 12/21/2025 11:59 PM Pacific

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• Contra Costa County Human Resources Department

• 925-655-2100

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