What are the responsibilities and job description for the Patient Accounts Representative position at TULARE COUNTY?
This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency. The anticipated life of the employment list is six months. If interested in employment for this position for current or future vacancies, please submit an online application for consideration.
Current vacancy is with the Health & Human Services Agency located in Visalia. The anticipated life of the list is six months.
Typical Duties
For a full list of duties for this position, please click here .
Minimum Qualifications
Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following.
Education:
Experience:
Knowledge of:
Skill/Ability to:
DESIRABLE EMPLOYMENT STANDARDS
Knowledge of:
Skill/Ability of:
License or Certificate:
Additional Information
Conditions of Employment
Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam.
College Cost Reduction Access Act
This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service
EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
Bargaining Unit 01
The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change.
Benefit Amount: An annual benefit amount is provided and may be applied towards health insurance premiums (medical, dental, vision, and life). This benefit is pro-rated and paid on a pay period basis (24 pay periods).
Health Insurance: A choice of PPO and HMO medical plans which include PPO and HMO dental plans and include dental and vision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, and Vision Services Plan (VSP).
Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems.
Paid Holiday Leave: 12 set days and 1 personal holiday.
Vacation Accrual:
2 weeks per year (0-3 years of service)
3 weeks per year (3-7 years of service)
4 weeks per year (7-11 years of service)
5 weeks per year (11 years of service)
Limit of 300 hours.
Sick Leave Accrual: 12 days per year with unlimited accumulation, 60 hours of which may be used toward family sick leave.
Career Incentive Pay
Employees who have completed five (5) or more Years of Service with Tulare County and meet the eligibility criteria described in Administrative Regulation - 52, earn additional pay according to the schedule below.
Years of Service
% Increase
Total
5
3%
3%
10
2%
5%
15
3%
8%
20
2%
10%
Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company.
Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee.
Deferred Compensation: A voluntary deferred compensation plan is available.
To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/
The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change.
Closing Date/Time: 6/8/2026 11:59 PM Pacific
Current vacancy is with the Health & Human Services Agency located in Visalia. The anticipated life of the list is six months.
Typical Duties
- Process health insurance and private pay billings on patient/client accounts.
- Review records of new patients to determine classifications of coverage to be billed such as private insurance, Medi-Cal, or Medicare.
- Verify billing codes, request additional documents verbally or in writing to process claims, resubmit claim rejections and denials for reconsideration of payment claims.
- Update patient data, review charges for accuracy completeness and obtain missing information for billing purposes.
- Call insurance companies regarding any discrepancy in payments, if necessary.
For a full list of duties for this position, please click here .
Minimum Qualifications
Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following.
Education:
- Equivalent to completion of the twelfth(12 th ) grade.
Experience:
- One (1) year of experience independently billing patient accounts OR three years of responsible experience in processing patient accounts including Medi-Cal, Medicare, and private pay.
Knowledge of:
- Basic medical terminology.
- Health insurance billing guidelines.
- Electronic billing systems.
- Standard office practices including filing and recordkeeping.
- Computer experience.
- Math sufficient to compute payment amounts and account balances.
Skill/Ability to:
- Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers.
- Operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment.
- Read and understand verbal and written procedures/instructions.
- Establish, maintain and foster positive and harmonious working relationships with those contacted in the course of work.
- Communicate clearly and concisely, both orally and in writing.
- Write correspondence, memos and summaries of account histories using correct grammar, punctuation and spelling.
- Retain and recall information.
- Establish priorities, meet deadlines, organize workload, and work independently.
- Operate office and computer equipment.
- Type 30 words per minute accurately.
- Remain flexible to changes in workloads and stress of meeting deadlines.
- Follow verbal and written instructions.
- Identify and bill secondary or tertiary insurances.
DESIRABLE EMPLOYMENT STANDARDS
Knowledge of:
- ICD-9 Codes, CPT Codes, Medical terminology and FHQC billing guidelines.
Skill/Ability of:
- Read, write and speak Spanish effectively with patients, insurance carriers, co-workers and management.
License or Certificate:
- Medical Billing Certificate/Coding Certificate, Front/Back Office Certificate or License from a Vocational school.
Additional Information
Conditions of Employment
Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam.
College Cost Reduction Access Act
This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service
EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
Bargaining Unit 01
The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change.
Benefit Amount: An annual benefit amount is provided and may be applied towards health insurance premiums (medical, dental, vision, and life). This benefit is pro-rated and paid on a pay period basis (24 pay periods).
Health Insurance: A choice of PPO and HMO medical plans which include PPO and HMO dental plans and include dental and vision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, and Vision Services Plan (VSP).
Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems.
Paid Holiday Leave: 12 set days and 1 personal holiday.
Vacation Accrual:
2 weeks per year (0-3 years of service)
3 weeks per year (3-7 years of service)
4 weeks per year (7-11 years of service)
5 weeks per year (11 years of service)
Limit of 300 hours.
Sick Leave Accrual: 12 days per year with unlimited accumulation, 60 hours of which may be used toward family sick leave.
Career Incentive Pay
Employees who have completed five (5) or more Years of Service with Tulare County and meet the eligibility criteria described in Administrative Regulation - 52, earn additional pay according to the schedule below.
Years of Service
% Increase
Total
5
3%
3%
10
2%
5%
15
3%
8%
20
2%
10%
Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company.
Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee.
Deferred Compensation: A voluntary deferred compensation plan is available.
To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/
The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change.
Closing Date/Time: 6/8/2026 11:59 PM Pacific