Hospital Eligibility Worker Supervisor (2909) - DPH (H00156)

Company Description

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

• Application Opening: Friday, May 2, 2025
• Application Deadline: Application filing will close on or after Friday, May 9, 2025
• Salary: $110,266 to $134,030 annually
• Appointment Type: Permanent Civil Service
• Recruitment ID: CBT-2909-H00156

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.

Job Description

Under direction, the Hospital Eligibility Worker Supervisor supervises, assigns, reviews and participates in the work of a unit responsible for a variety of hospital registration, admitting and discharge functions with the objective of determining eligibility of patients for assistance under the terms of various public and private health care and financial assistance programs including Medi-Cal and Medicare to maximize hospital reimbursement and facilitate patient care; and performs a variety of technical tasks relative to assigned area of responsibility.

ESSENTIAL DUTIES include:

1. Plans, prioritizes, assigns, supervises, and reviews the work of a unit responsible for providing the review and determination of eligibility of patients for medical treatment under the terms of various public and private medical and financial assistance programs including Medi-Cal, Medicare, and other third-party payers.
2. Participates in the selection of unit staff; provides or coordinates staff training; works with employees to correct deficiencies; implements discipline procedures as required.
3. Recommends and assists in the implementation of goals and objectives; establishes schedules and methods for providing services; implements policies and procedures.
4. Evaluates operations and activities of assigned responsibilities; recommends improvements and modifications; prepares statistical summaries and reports on staff, operations, and activities.
5. Assists in the preparation and monitoring of the budget.
6. Answers questions and provides information to the public; investigates complaints and recommends corrective action as necessary to resolve complaints.
7. Reviews and evaluates staff work in determining financial eligibility for a variety of payment sources; verifies eligibility and financial assistance levels according to established policies and procedures; reviews completed cases with respect to eligibility factors and billing recommendations.
8. Maintains ongoing effective communication with various clinical staff, including radiology staff, nursing staff, and physicians.
9. Reviews and interprets administrative letters, memos, and changes in program regulations; evaluates the impact of changes on internal procedures and hospital reimbursement for patient care; updates staff on changes in regulations and policy or procedures; maintains providers’ eligibility and procedures manual regulations and policy or procedures; maintains providers’ eligibility and procedures manual.
10. Determines eligibility, recommends, and explains third-party payment source programs, qualification standards, policy, and procedure to patients; assists patients in completion of applications and forms when necessary; reviews and evaluates Medi-Cal applications for completeness and accuracy; when necessary, prepares the patient budget to determine eligibility.
11. Prepares records related to patient eligibility information and payment source received; updates records; submits required reports.