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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 to httsp://jobs.smcgov.org/ to 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.

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)

The County of San Mateo is seeking qualified candidates for the position of Equity and Belonging Manager.  
 
The vision of the Office of Racial and Social Justice (ORSJ) is one where all San Mateo County residents, workers, and staff experience just and fair inclusion into a society in which all can participate, prosper, and reach their full potential. All residents are better off, when we enable everyone to fully participate in the civic, social, and economic opportunities.  Our work is to help create the institutional conditions that enable all our clients, communities, and partners to reach their full potential.  

 
The Equity and Belonging Manager will work with the Chief Equity Officer in the development and management of innovative and effective strategies to advance the ORSJ’s vision and day-to-day operations. The work requires considerable initiative and judgment and the ability to make sound recommendations to the Chief Equity Officer and departmental leadership.
 
The Equity and Belonging Manager may provide direct and indirect supervision over lower level supervisory, professional, technical, and clerical employees and contractors.
 
The Equity and Belonging Manager will optimize and support the functions of the ORSJ, which include but are not limited to the following:

• Collaborate with the County’s Chief Equity Officer and other equity-focused staff to normalize and institutionalize the implementation of an equity lens to improve relationships, decision-making, structures, and systems of County operation and delivery of services.
• Consult with and advise management, multi-disciplinary staff, community organizations, providers, external agencies, and other stakeholders on complex matters concerning efforts to advance just and fair governance and improving life outcomes for all populations.
• Sustain and improve the operations of an interdepartmental Core Equity Team and its committees to advance their annual action plans.
• Facilitate community and agency partnerships and learning opportunities across government and community leaders.
• Design, implement, promote, deliver, and evaluate programs and tools designed to advance equity, including staff development, community engagement and partnership, organizational assessments, policy and systems changes, public information, and individual and group trainings.
• Manage the County’s Targeted Strategies: Improving Outcomes for All action plans.
• Shepherd the implementation of the County’s Anchor Institution framework to ensure the success of inclusive procurement, investment, and staffing efforts.  
• Conduct public solicitation processes and develop and monitor contracts.
• Participate in the development and implementation of County goals, objectives, policies, procedures, and priorities.
• Prepare and manage a variety of reports, correspondence, and other written materials, and present reports and studies as necessary. 
• Provide guidance and training to support internal and external partners in the development and delivery of equity programs, policies, and tools, and develop related work plans and training materials as needed.
• Participate in designing and implementing performance measurement plans that help determine the effectiveness of the goals and strategies. 
• Monitor changes in laws, regulations, and technology that may affect County or departmental operations; implement policy and procedural changes as required.
• Select, supervise, train, and evaluate professional, technical, and clerical employees and contractors.
• Perform related duties as required.

QUALIFICATIONS

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:

• Education: Bachelor’s degree from an accredited college or university with major coursework in public policy, sociology, education, ethnic studies, public relations, social work, public health, public administration, or a related field, includes trainings and education specific to issues related to racial and social equity. 
• Experience: Five years of experience in the administration of community, public policy, educational, or social and racial justice programs, including at least three years in a supervisory level AND life experience related to interacting with inequitable systems that can provide an integral perspective to the position.

Demonstrated track record of success engaging with underserved and marginalized communities, and experience in making transformational changes to advance equity is required.

 
Knowledge of:

• Theories, principles, and practices of effective management and strategic planning processes and techniques.
• Social, political, economic, and environmental issues influencing issues related to equity.
• Strategies to advance equity in a governmental setting.
• Frameworks promoted by the Government Alliance on Race and Equity
• History of racial inequities and current institutional and systemic factors that maintain, reinforce and/or create inequities. 
• Cultural competencies, cultural humility, and intercultural communication to facilitate dialogue and partnership with diverse groups of community members.
• Principles and practices of effective institutional change management. 
• Group facilitation and effective communication techniques to thoughtfully engage in empathetic, authentic, and difficult conversations about race, patriarchy, LGBTQ+ and disability issues, and other structures of power and privilege to advance organizational change. 
• Administrative principles and practices, including goal setting, program development, implementation, and evaluation.
• Policy analysis and methods of developing and advocating for public policies specific to equity issues. Familiarity with Targeted Universalism framework
• Public sector solicitation processes and methods
• Applicable Federal, State, and local laws, regulatory codes, ordinances, and procedures relevant to social and racial equity.
• Record keeping principles and procedures.
• English usage, grammar, spelling, vocabulary, and punctuation.
• Strong communication skills, including public speaking, presenting, and writing for diverse audiences.
• Interpersonal and group communication techniques for effectively representing the County in contact with governmental agencies, community groups, and various business, professional, educational, regulatory, and legislative organizations.
• Techniques for providing a high level of customer service by effectively dealing with the public, vendors, contractors, and County staff.

Ability to:

• Plan, organize, implement, and manage multiple equity-focused programming simultaneously.
• Organize and prioritize a variety of projects and multiple tasks in an effective and timely manner; organize own work, set priorities, and meet critical time deadlines.
• Conduct needs assessments, evaluations, and track learnings over time.
• Facilitate a wide range of meetings with participants with different levels of understanding and buy-in about equity and levels of authority to implement initiatives.
• Develop and deliver trainings and team building activities.
• Develop sound conclusions and recommendations; and present recommendations in a way that is compelling to a variety of institutional and community audiences.
• Conduct community impact analysis; utilize evidence and data to identify trends and relationships; present this data visually and recommend improvements to life outcomes for marginalized populations.
• Effectively and positively partner with internal and external stakeholders to accomplish shared projects and goals.
• Represent the County effectively on equity issues in a variety of forums.
• Prepare clear, concise, and comprehensive correspondence, reports, studies, and other written materials for diverse audiences.
• Speak clearly, explicitly, authentically, and convincingly to diverse audiences and communicate effective in writing and orally.
• Listen thoughtfully, constructively, and authentically to diverse audiences.
• Exercise sound, expert independent judgment, and political acumen within general policy guidelines.
• Exercise tact and diplomacy in dealing with highly sensitive, complex, and confidential issues and situations.
• Build effective, strong working relationships, partnerships, and networks with communities of color, LGBTQ+ communities, disability communities, and other communities that have been marginalized, and the organizations that serve them.
• Properly interpret and make decisions in accordance with appropriate laws, regulations, and policies.
• Interpret, apply, explain, and ensure compliance with Federal, State, and local policies, procedures, laws, and regulations.
• Conduct complex research projects, analyze, and evaluate policies, programs, procedures, and techniques with an equity lens, make sound recommendations, and prepare effective technical staff reports and presentations
• Conduct solicitations processes and manage multiple contracts and vendors Establish and maintain a variety of filing, record keeping, and tracking systems.
• Supervise, coach, support, and manage staff as needed to maximize staff potential and advance overall equity goals. 
• Operate modern office equipment including computer equipment and specialized software applications programs.

APPLICATION/EXAMINATION

Open and Promotional.  Anyone may apply.  
 

The examination process for this recruitment will consist of an Application Screening (weight: pass/fail), and an Interview (weight: 100%), which may include the evaluation of a brief writing exercise given immediately preceding the interview.  Applicants must successfully pass the Application Screening to move forward to the interview.  Candidates must successfully pass the interview to be placed on the eligible (hiring) list.
 
Depending on the number of applications, a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position. For that reason, not all applicants with the minimum qualifications are guaranteed to advance through the recruitment.
 
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 "Apply". If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply.
 
In addition to completing the standard Employment Application form, responses to the Supplemental Questionnaire (attached to the application form) must also be provided.

~ TENTATIVE RECRUITMENT SCHEDULE ~
Deadline for Applications: April 23, 2026, by 11:59 PM
Application Screening: April 28-May 5, 2026
Panel Interviews: May 11 and/or 12, 2026

Finalist Interviews: Week of May 18, 2026, likely May 22, 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.

Analyst: Chet Overstreet (03262026) (Equity Manager - D232)  

The County Executive’s Office is seeking a well-qualified Assistant County Chief Financial Officer (Assistant County CFO) to join a high-performing team of public finance professionals supporting the County of San Mateo’s fiscal stewardship and service delivery.

The Assistant County CFO, a new position, is being added to the County Executive’s Office to help shape the trajectory of finance for the County for the future.  This visionary leader will be expected to look at the County’s finances in their entirety now and in the years ahead.

This executive management role helps lead the Finance Department of the County Executive’s Office, which includes these four divisions: Budget and Performance, Procurement, Assessment and Appeals, and CEO Administration. 

Under general direction of the County Chief Financial Officer, the Assistant County CFO provides day-to-day oversight, integration, and coordination of assigned budget operations and will supervise and mentor staff. The position requires a high level of judgment and discretion within the legal and policy frameworks established by the CFO, the Board of Supervisors, and applicable state and federal laws.

In addition to the responsibilities of complex budget development and oversight, this position plays a key role in helping develop practical, yet creative solutions to modern government funding and cost pressures, identifying options that are implementable, transparent, and aligned with Board and County priorities.

This is a unique opportunity for a high-impact public finance leader to develop and test new methodologies and ideas combining innovative yet practical problem-solving, forward-looking fiscal leadership, and enterprise-minded approaches with fiscally disciplined stewardship.  We are looking for someone who can keep the County financially strong while helping departments navigate growing community needs, rising costs, and limited revenues by bringing fresh thinking, analytic rigor, and collaborative execution to budget solutions.

What You Will Do (Key Responsibilities)

Duties may include, but are not limited to:

Fiscal Strategy, Sustainability & Decision Support

• Develop data-informed options to address funding gaps and cost pressures, including scenario planning and clear articulation of tradeoffs and impacts.
• Support strategies to strengthen fiscal sustainability, including evaluation of cost controls, cost recovery, service delivery alternatives, resource reallocation, and other legally permissible approaches to improve revenues and/or reduce expenditures.
• Monitor department expenditures and revenues; identify trends, risks, and mitigation options.
• Review, analyze, and report on pending state and federal legislation with significant fiscal impacts.

Budget Leadership & Performance Management

• Assist in planning, organizing, directing, and reviewing the development and oversight of the County budget.
• Lead development and implementation of budget policies, calendars, tools, and processes.
• Oversee the development and implementation of performance-based/outcome-based budgeting approaches.
• Coordinate budget and fiscal activities with all County departments and special districts.

Organizational Improvement & Implementation

• Identify opportunities to increase efficiency and effectiveness through process redesign, automation, continuous improvement, and improved financial/performance reporting.
• Partner with departments to move from recommendations to implementation, building shared ownership, accountability, and measurable results.
• Lead and participate in high-priority department and county-wide projects and system implementations.

Executive Communications & Representation

• Explain and interpret budget and financial policies, rules, and procedures.
• Represent the County CFO with the County Executive, Board of Supervisors, special districts, media, community, regulatory agencies, and other stakeholders.
• Inform the County CFO regarding overall fiscal condition and emerging issues that could affect the County’s financial position.

Ideal Candidate

We’re looking for a public finance leader who brings analytic rigor, creative thinking, and collaborative execution, and who can develop practical, transparent solutions aligned with Board and County priorities.

Ideal qualifications include:

• Strong public-sector finance fundamentals and a solutions-oriented mindset.
• Ability to think strategically while operating effectively at both enterprise and operational levels.
• Demonstrated success developing and implementing new approaches to complex fiscal challenges in a public agency setting.
• Political astuteness and excellent judgment in a highly visible public environment.
• Ability to build trust quickly and establish effective partnerships using a participatory, collaborative style.
• Strong communication skills, including the ability to persuasively convey fiscal strategy, options, and impacts to diverse audiences.
• Skill as a consensus builder who is firm, fair, and responsive
• Tactful leadership and strong facilitation skills.
• Proficiency with automated systems and advanced spreadsheet/analytics tools; experience supporting system/automation upgrades.
• Ability to evaluate operations across departments of varying size, complexity, and service models.
• An approachable manner and a sense of humor.

County of San Mateo: Fiscal Stewardship & Innovation

The County is in a period of financial transformation throughout our departments.  We are in the process of securing a new budget system and new Assessment Appeals system and will continue to upgrade our County-wide systems and processes to strengthen the oversight of our fiscal stewardship.  Our aim is to be one of the first adapters of new technology that will provide more in-depth information in our continued pursuit of data-driven approaches to demonstrate performance, enhance services, and improve transparency. 

San Mateo County maintains a strong credit rating and is among the few California counties with AAA bond issuer ratings from Moody’s and Standard & Poor’s, supported by conservative debt and reserve policies and an aggressive approach to addressing unfunded pension and retiree health liabilities.

Qualifications

Experience and Education:

Any combination of experience and education that would likely provide the required knowledge, skills, and abilities is qualifying. A typical way to qualify is:

• Four years of increasingly responsible experience performing a wide variety of fiscal, administrative, and managerial duties in a large, complex public agency, including one or more years in a senior-level administrative or management position.

Application and Examination

This is an Open and Promotional recruitment. 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 classified regular, probationary, extra-help or 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) and a Panel Interview (weight: 100%), which may include the evaluation of a brief writing exercise given immediately preceding the interview.  Applicants must successfully pass the Application Screening to move forward to the interview. Candidates must successfully pass the interview to be placed on the eligible (hiring) list.

Depending on the number of applications, a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position. For that reason, not all applicants with the minimum qualifications are guaranteed to advance through selection process.  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 “Apply.” If you are not on the County's website, please apply at https://jobs.smcgov.org/.

Online applications must be received by the Human Resources Department before midnight on the final filing date.

To be considered for this exceptional opportunity, the following materials must be submitted:

• County of San Mateo Application Employment Form
• Cover Letter expressing your interest in the position and providing responses to the following Supplemental subject areas:

Supplemental Subject Areas:

Subject Area One: Government finance has become increasingly complex and challenging. For this position, we are looking for someone with visionary ideas for fiscal transformation who can develop creative solutions to current challenges, such as increasing community needs, rising costs, and limited revenues, while aligning with Board and County priorities.

Provide at least two examples of creative, “outside-the-box” fiscal solutions you have presented and implemented at your current or a recent employer.  One or both of your examples should relate to a current County of San Mateo priority or event.

In your response describe the issues you were trying to solve, how you implemented your ideas, and the result of the implementations. Please include the agencies where you implemented these ideas, your job titles, and your primary responsibilities.

Subject Area Two: Considering the description of the idea candidate and the core competencies listed in the job announcement, which three characteristics do you believe best align with your background and prepare you for this position? For each of the three qualifications selected:

a. Briefly describe one specific example of how you applied it in practice.

b. Explain your specific role and the results achieved.

c. Reference the position or job in which the experience was gained.

Tentative Recruitment Schedule

• Recruitment Opens: March 13, 2026
• Final Filing Date: April 6, 2026, at 11:59 PM PST
• Application Screening: April 8 – 20, 2026
• Panel/Departmental Interviews: April 29 and/or 30, 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.

Analyst: Chet Overstreet – 03132026 (Assistant County Chief Financial Officer – D238)

The Public Works Program Manager leads and supports a team of engineering and technical staff while overseeing the Engineering Division within the Public Works Agency. This role is responsible for directing complex engineering programs; reviewing and evaluating technical work products, methods, and procedures; and ensuring all activities comply with applicable federal, state, and local regulations. Under the direction of the Public Works Director, this position provides direct supervision, establishes project schedules and work plans, prepares and administers budgets, and ensures engineering services are delivered accurately, efficiently, and in alignment with agency goals.

• Strong knowledge of applicable federal, state, and local laws, codes, and regulations relevant to engineering and public works programs
• Ability to understand, interpret, and apply technical standards, engineering principles, and administrative requirements to division operations
• Proficiency in analyzing engineering and administrative problems, evaluating technical work methods, and recommending effective improvements or modifications
• Skill in reviewing, prioritizing, and supervising technical and professional engineering work, including complex reports, calculations, and project plans
• Competence in applying advanced mathematical concepts such as arithmetic, algebra, geometry, and statistical analysis to engineering tasks and program evaluation.