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Patient Accounting Manager (Claims Manager)
Patient Accounting Manager (Claims Manager)Contra Costa County, CA • Martinez, CA, United States
Patient Accounting Manager (Claims Manager)

Patient Accounting Manager (Claims Manager)

Contra Costa County, CA • Martinez, CA, United States
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Salary : $118,044.68 - $143,484.04 Annually

Location : Martinez, CA

Job Type : Permanent Full-Time

Job Number : VAGE-2025A

Department : Health Services - Only

Opening Date : 12 / 07 / 2025

Closing Date : 1 / 11 / 2026 11 : 59 PM Pacific

FLSA : Exempt

Bargaining Unit : ZA

The Position

  • RECRUITMENT EXTENDED

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 : January 14 - 18, 2026 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 . 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

    01

    The purpose of the questionnaire is to provide applicants the opportunity to elaborate on their experience, education, and training and to assist Human Resources staff in assessing each applicant's qualifications. Your responses to the questionnaire will be used to better understand your relevant experience, education, and training to determine which applicants will be invited to participate in the next step of the recruitment process. Do not answer any of the questions by indicating "see attached application or see resume."

  • I understand
  • 02

    Select the option below that best describes how you meet the minimum qualifications.

  • I do not have the required experience as described
  • I have less than three (3) years of the experience as described
  • I have three (3) years or more of the experience as described
  • I am substituting for the education and have five (5) years of experience and an AA degree or 60 semester units or 90 quarter units
  • I am substituting for the education and have seven (7) years of experience and a certificate as described in the MQs
  • I am substituting for the education and experience and have five (5) years of experience as an Account Clerk Supervisor in Contra Costa County
  • 03

    Select all areas in which you have administrative, managerial, or supervisory experience.

  • I have experience in delivery of patient business services in a health care services organization
  • I have experience in patient accounting services in a health care services organization
  • I have experience in insurance billing services in a health care services organization
  • I have experience in collection services in a health care services organization
  • I have experience in patient financial counseling services in a health care services organization
  • I do not have experience in any of these areas
  • 04

    Describe your 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? Be specific and list places worked.

    05

    Provide the name(s) of the health care services organization you worked for.

    06

    By checking this box, I am confirming that all statements made in this supplemental questionnaire and on the application are accurate and true; and I understand that misstatements or omissions of material facts will result in being rejected from this recruitment process or released from future employment with Contra Costa County.

  • I understand
  • Required Question

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