Collections Officer II - Self Pay Collections - Bilingual

THE POSITION

Collections Officer II within Patient Financial Services with the Health Care Agency. Under general direction, the Collections Officer II collects monies owed the County for services rendered and/or taxes/fines/ fees levied; and performs related duties as required.

Collections Officer II is the journey level classification of this series. Incumbents manage a full caseload within an area of account specialization (e.g., medical collections); and may return cases to court or initiate property liens for failure to pay.

is bilingual (English/Spanish) and will possess excellent customer service skills and the ability to communicate effectively with clients, coworkers, and other stakeholders while exercising sound judgment and professionalism in sensitive financial situations. They will have experience analyzing financial information to determine appropriate collection actions, evaluating eligibility for self-pay and financial assistance programs, and processing related recommendations and account adjustments. The ideal candidate will also maintain accurate records, prepare routine correspondence and reports, identify opportunities to improve collections, and demonstrate strong attention to detail while managing multiple priorities in a high-volume environment.

Experience handling high-volume phone calls, working with Microsoft Excel reports, and using electronic health record systems such as Cerner is highly desirable.

Health Care Agency - Administration

Collections Officer II is represented by the Service Employees International Union (SEIU) and are eligible for overtime compensation.

8/20/26

Continuous and may close at any time; therefore, the schedule for the remainder of the process will depend upon when we receive enough qualified applications to meet business needs. It is to your advantage to apply as soon as possible.

• Manages a caseload of hospital and clinic accounts by reviewing patient financial records, establishing collection strategies, and recovering delinquent charges for medical services;
• Reviews assigned self-pay accounts, payment histories, and financial information to determine balances, verify debtor information, and assess changes in financial status;
• Locates and contacts debtors to obtain updated information, explain payment obligations and consequences of non‑payment, negotiate payment arrangements, and modify payment plans as appropriate;
• Analyzes patient accounts to determine appropriate collection actions and accurately documents all account activity in the patient accounting system;
• Maintains accurate manual and automated payment records, prepares routine correspondence and reports, monitors account aging, and processes qualified discount program adjustments;
• Resolves patient billing inquiries, processes payments received by phone and mail, and reviews patient accounts to identify and process credits within required time frames;
• Updates patient accounts with insurance information, verifies patient addresses, and confirms account balance accuracy before statement generation;
• Collects patient payments while maintaining confidentiality and identifies accounts requiring escalation or additional review; and
• Performs other related duties as required.

These are entrance requirements to the examination process and ensure neither continuance in the process nor placement on an eligible list.

Collections Officer II:
Two (2) years medical account collections experience.

Substitution:
Two (2) years of related education/training may be substituted for one year of the required experience.

• Must be bilingual…