What are the responsibilities and job description for the Medical Billing Account Technician position at County of Sonoma, CA?
Salary : $66,662.61 - $81,042.87 Annually
Location : Santa Rosa, CA
Job Type : Full-Time
Job Number : 25 / 02-0404-O
Department : Department of Health Services (DHS)
Opening Date : 02 / 04 / 2025
Closing Date : 2 / 18 / 2025 11 : 59 PM Pacific
Bargaining Unit : 95
Position Information
Grow your career in financial services and join the County of Sonoma as a Medical Billing Account Technician!
Starting salary up to $38.83 / hour ($81,042 / year) and a competitive total compensation package!
About the Position
The Sonoma County Department of Health Services is seeking a Medical Billing Account Technician to play an essential role in their financial operations and ensure accurate and timely processing of payments. As the Medical Billing Account Technician, you will handle payment claims, submit purchase order requisitions, and reconcile purchase order encumbrances. In addition, you will :
- Create and maintain accurate payment ledgers
- Identify and report potential shortfalls in contracts
- Address payment-related inquiries
- Review stale checks and process correction journals
- Determine recoup-true-ups as identified
- Ensure the efficient processing and reporting of financial transactions
As an ideal candidate for this role, you will have a background in accounting practices related to billing and claims, with the ability to handle complex issues while meeting deadlines. You will also demonstrate an ability to work well in a collaborative environment and possess many of the following :
If you are a detail-oriented financial professional looking to contribute to the success of a dynamic team, we encourage you to apply for this exciting opportunity!
What We Offer
Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to flexible work arrangements and excellent benefits
This recruitment is being conducted to fill an Accounting Technician position in the Department of Health Services. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. Qualified County employees who wish to be considered for future positions should consider applying to this recruitment. The Civil Service title for this position is Accounting Technician.
APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.
Minimum Qualifications
Completion of at least six semester or eight quarter units in accounting, financial analysis, statistics, or a closely related field; and four years of increasingly responsible full-time experience in the review, processing, and maintenance of fiscal transactions and accounts, or statistical data and records, including at least one year interpreting financial data and solving complex financial problems.
License : Possession of a valid driver's license at the appropriate level including special endorsements, as required by the State of California, may be required depending upon assignment to perform the essential job functions of the position.
Knowledge, Skills, and Abilities
Thorough knowledge of : methods, practices, and terminology used in financial and statistical clerical work, including considerable knowledge of cost, basic accounting, and budgetary accounting principles; double entry bookkeeping; government and departmental policies, regulations, and procedures in order to satisfactorily perform assigned account or statistical record keeping functions, resolve related problems, or assess acceptability of work performance and procedures; department services, organization, and functions to proficiently plan, prioritize, coordinate, implement, direct, review, evaluate, and perform work assigned to a clerical accounting section.
Working knowledge of : principles and techniques of supervision, training, and performance evaluation; intermediate mathematics to include addition, subtraction, multiplication, and division of whole numbers, fractions, percentages, decimals, and derivatives in order to count, calculate, balance, check, and adjust fiscal and / or statistical data; modern office methods and procedures; database, spreadsheet, and word processing applications.
Ability to : understand, coordinate, maintain, and monitor an entire accounting system; exercise judgment and technical accounting skill in performing assigned duties independently; establish, evaluate, and modify clerical accounting systems, procedures, records, and forms; review, code, post, adjust, and summarize fiscal transactions or statistical data; maintain and reconcile control records; prepare financial and statistical reports, statements, charts, and graphs; review, analyze, and evaluate data and reports for accuracy and conformance to standards and procedures; train and supervise others; plan, schedule, and assign work; establish and maintain effective working relationships with the public, coworkers, and administrative and professional personnel; read and interpret laws pertaining to departmental accounting practices and procedures; use and understand common database, spreadsheet, and word processing applications; operate office equipment such as adding machines, calculators, and computers in order to post, balance, summarize, and adjust data.
Selection Procedure & Some Helpful Tips When Applying
Please visit to review more detailed information about the hiring process, including the application process, examination steps, and department selection process.
APPLICATION SUBMISSIONS REQUIRE THE SUPPLEMENTAL QUESTIONNAIRE BE COMPLETED.
Responses to supplemental questions will be scored using position-specific criteria. Please provide specific and detailed responses of a reasonable length to allow for a thorough assessment of your qualifications. Responses that state, "See Resume" or "See Application" may be considered insufficient and therefore may not be scored.
The selection procedure will consist of the following examination :
An Application & Supplemental Questionnaire Appraisal Examination (weight 100%) will be conducted to evaluate each applicant's application and supplemental questionnaire for satisfaction of minimum qualifications (pass / not pass); and for educational coursework, training, experience, knowledge, and abilities which relate to this position. Each applicant will be evaluated based on the following criteria :
Candidates demonstrating possession of the minimum qualifications will be placed on an employment list in order of most qualified to least qualified based on the achieved score received in the Application & Supplemental Questionnaire Appraisal Examination which evaluates the education, training, experience, skills, knowledge, abilities, and other qualifications that you demonstrate in your application and / or response to the supplemental questionnaire. Please be aware that resumes and cover letters are not typically evaluated in the Application & Supplemental Questionnaire Appraisal Examination. Scores may be adjusted based on such factors as the number of candidates, anticipated vacancies, past practice, and natural breaks in the scores achieved by this group of candidates.
Additional Information
A background investigation is required prior to employment. Candidates referred to departments for a selection interview are typically required to sign authorization and release forms enabling such an investigation. Failure to sign prescribed forms will result in the candidate not being considered further for that vacancy. Reference information will not be made available to applicants.
Additional requirements, such as successful completion of a physical exam, drug screen, etc., may apply, depending on the duties and responsibilities of the position. If you receive a conditional job offer for the position, the requirements upon which the offer is contingent will be outlined in the conditional job letter. You may also review the to determine the requirements for this position.
How to Apply
Applications are accepted online at Paper applications may be submitted by person, fax (707-565-3770), email, or through the mail. All applications and appropriate supplemental information as outlined in the job bulletin must be RECEIVED by the time and date specified on the first page of this job announcement. Applications received after the recruitment closes will not be accepted.
The County of Sonoma values diversity and is dedicated to creating a workplace environment that provides individuals with a sense of belonging. We are committed to having a diverse workforce that is representative of the communities we serve. The County is proud to be an Equal Opportunity Employer where all aspects of employment are based on merit, competence, performance, and business need.
HR Analyst : SZ
HR Technician : RR
IMPORTANT NOTE : Benefits described herein do not apply to Extra Help positions.
COUNTY OF SONOMA BENEFITS : GENERAL
These are some of the excellent benefits the County offers :
Paid Time Off : Competitive vacation and sick leave accruals; 12 paid holidays, and an additional 8 floating holiday hours per year; and may be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment.
Health Plan : Choose from nine health plans (three HMOs, three deductible HMOs, and three HSA-qualifying plans) with a generous County contribution to the premium (the contribution amount varies by bargaining unit). For more information, please see the appropriate MOU.
Retirement : Fully integrated with Social Security. For more information regarding eligibility, retirement contributions, and reciprocity with prior public service, please visit
IRS 457 Plan : Pre-tax employee contribution up to the IRS annual maximum.
Retiree Medical : County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance / benefits.
Student Loan Debt Relief : County employees may be eligible for through the U.S. Department of Education.
Plus excellent dental, vision, disability, life insurance, professional development, and more.
For answers to specific questions regarding the employment process and more details about benefits or retirement, please contact Human Resources at (707) 565-2331. Additional details about benefit and compensation packages can be found in the MOUs located at For specific information about health and welfare benefits including plan options, coverage, and premium amounts go to or, contact the Human Resources' Risk Management-Benefits Office at or (707) 565-2900.
How did you first learn about this opportunity?
Please indicate if you would also be interested in future part-time or extra-help (temporary, intermittent, or seasonal employment) positions should they become available. Check all that apply.
Please indicate if you are interested in bilingual positions, and your level of proficiency.
Please indicate how your education, training, and / or experience meet the minimum requirements of this position, as stated in the job announcement :
For this question and all subsequent questions provide sufficient information to allow for a thorough evaluation of your qualifications. Responses to your supplemental questions may be scored using position-specific criteria and may be reviewed by hiring managers.
In support of your answer to Question #4, please list the relevant :
Please describe your experience managing and reconciling payment claims, including handling invoices, purchase order requisitions, and encumbrance reconciliation.
Please describe a time when you handled a complex billing issue. Please include what steps you took to resolve it. Highlight any experience with Medi-Cal, Medicare, or third-party billing.
Required Question
Salary : $38,830 - $81,042
