Revenue Integrity Manager - San Mateo Medical Center (Open & Promotional)

Salary : $154,876.80 - $193,585.60 Annually

Location : County of San Mateo, CA

Job Type : Full-Time

Job Number : D151CH

Department : San Mateo Medical Center

Opening Date : 11 / 20 / 2025

Closing Date : 12 / 4 / 2025 11 : 59 PM Pacific

Bargaining Unit : 50B

Description

At San Mateo County Health, we lead by example. From our most seasoned professionals to our newest team members, everyone has the opportunity to step forward to offer their insight, opinions and ideas. As part of our hospital, you'll have the chance to explore new avenues for growth while you meet the diverse healthcare needs of a thriving, vibrant community. If you're ready to discover the leader in you, we invite you to discover San Mateo County Health. San Mateo County Health is located is 25 minutes South of San Francisco, 25 minutes North of San Jose and 25 minutes from beautiful Half Moon Bay!

As a Revenue Integrity Manager - San Mateo Medical Center ( Financial Services Manager II) , you are responsible for the development, coordination, implementation, and oversight of the revenue integrity function. The basis of revenue integrity at San Mateo Medical Center (SMMC) is to prevent recurrence of issues that can cause revenue leakage and / or compliance risks through effective, efficient, replicable processes and internal controls across the continuum of patient care.

The ideal candidate for this position will have :

• Broad understanding of the healthcare revenue cycle, demonstrated by process improvement initiatives that led to quantitative improvements in revenue cycle performance and key performance indicators.
• Broad understanding of Medicare and Medicaid (Medi-Cal) regulations and programs demonstrated with a history of working in organizations with revenue sources from Medicare and Medi-Cal.
• Strong analytical thinking, attention to detail, effective communication, and problem-solving abilities.
• Bachelor's degree in Business, Finance or Healthcare Administration, Master's degree preferred.
• Seven (7) years of progressive experience in medical billing or revenue cycle operations, including five or more in a leadership role at a hospital or healthcare environment.
• Advanced leadership, coaching, and team development skills.
• Strong written and oral communication and collaboration skills with the ability to partner across functions and departments.
• Proficiency in EHR systems (e.g., EPIC)
• HFMA Certified Revenue Cycle Representative.

Responsibilities include :

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 :

Knowledge of :

Skill / Ability to :

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 a screening committee may select those applicants whose education and / or experience appear to best meet the needs of the position based solely on the information provided in the application documents. Because of this screening process, all applicants who meet the minimum qualifications are not guaranteed advancement to the next phase of the examination process. All interviews will take place 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 the "Apply" button.If you are not on the County's website, please go to to apply. Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form. A resume will not be accepted as a substitute for the required application materials. Online applications must be received by the Human Resources Department before midnight on the final filing date.

TENTATIVE RECRUITMENT SCHEDULE

Final Filing Date : Thursday, December 4, 2025, at 11 : 59 P.M. PST

Screening : December 8-10, 2025

Combined Panel Interviews : Week of December 15, 2025

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 : Debbie Kong (11202025) (Financial Services Manager II-D151)

We invite you to explore our page for a snapshot of the comprehensive and competitive benefits available to eligible employees of the County of San Mateo. From health and wellness to financial security, our benefits are designed to support you at every stage of your career. (Please note that benefits are subject to change.)

In addition to core benefits, the County is proud to offer a variety of wellness and professional development programs to help you grow both personally and professionally. Most of these enriching opportunities are available during work hours and come at no cost to you.

As a County employee, you'll also be covered by the federal Social Security system, earning valuable retirement benefits based on your salary and years of service.

01

IMPORTANT : Applicants for this position are required to submit responses to the supplemental questions below. Your responses will provide detailed information about your background and experience related to this position. This information will weigh heavily in the application screening by the subject matter experts and will also be used in the selection process. Answer the questions completely, paying attention to the multi-parts of the questions. While being thorough and detailed, also be concise. Your strategic use of language as well as neatness, clarity of expression, attention to detail, proper use of grammar and the ability to follow instructions will be considered in the evaluation process. A resume will not be accepted as a substitute for your responses.

02

Describe your overall qualifications for this position. What knowledge, skills and abilities do you bring to this position? Be specific.

03

Describe your experience using analytics to improve charge capture and charge reconciliation results. Be Specific.

04

Explain your experience with auditing and compliance in revenue cycle management. Be Specific.

05

Describe a situation where you had to identify and resolve a revenue integrity issue. Describe your role, the steps you took to manage the situation and the outcome. Be Specific.

06

Provide an example that demonstrates your ability to collaborate effectively with other departments, stakeholders or leaders. Be Specific.

Required Question