HomeMy WebLinkAboutMINUTES - 12032013 - C.55RECOMMENDATION(S):
ADOPT Position Adjustment Requisition No.21394 to add one permanent full-time Clerk - Senior Level (JWXC)
(represented) position at salary level 3RX-1033 ($2,882.23 - $3,680.73) in the Health Services Department.
FISCAL IMPACT:
Upon approval, this action has an annual cost of approximately $78,062.03, which includes pension costs of
$15,679.98. The majority of the cost, $65,326.00, is offset by California Children Services State grants, and the
remaining $12,736.03 is paid by County general fund.
BACKGROUND:
The Health Services Department is requesting to add one (1) permanent full-time Clerk-Senior Level (JWXC)
position at salary level 3RX-1033 ($2,882.23 - $3,680.73) in the California Children's Services (CCS) Program in
Public Health.
The position will be assigned to support the CCS Program claims and billing function. Currently there is no
designated permanent staff to process bills, claims and payment issues from providers, medical billers and patient
families. Often times, these problems
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/03/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Jo-Anne Linares, (925)
597-5246
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: December 3, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
C. 55
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:December 3, 2013
Contra
Costa
County
Subject:Add one permanent full-time Clerk - Senior Level position in the Health Services Department
BACKGROUND: (CONT'D)
are handled by Nurse Managers or other clinical staff who do not have the knowledge to properly address
payment issues. The claims and billing system can be complicated and frustrating to some provider billers.
Consequently, some providers have chosen to discontinue serving CCS patients, which eroded the needed pool of
pediatric sub-specialists. Provider billers seek assistance from the CCS office to ensure payment of services.
Additionally, patients are sometimes erroneously billed for CCS authorized services and the patients' families turn
to CCS to solve their billing issues with provider offices. Currently, a temporary employee is performing these
duties and the addition of a permanent position will ensure claims and billing issues are resolved properly, which
will also enhance CCS patient/provider relations and allow clinical staff to focus exclusively on client clinical and
case management needs.
Upon approval, this action has an annual cost of approximately $78,062.03, which includes pension costs of
$15,679.98. The majority of the cost, $65,326.00, is offset by California Children Services State grants, and the
remaining $12,736.03 by County general fund.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, there is not adequate permanent staff to support the California Children Services
billing and claims function in Public Health, which may adversely impact patient care.
CHILDREN'S IMPACT STATEMENT:
The Health Services Department is requesting to add one (1) permanent full-time Clerk-Senior Level (JWXC)
position at salary level 3RX-1033 ($2,882.23 - $3,680.73) in the California Children's Services (CCS) Program in
Public Health in order to enhance CCS patient/provider relations and allow clinical staff to focus exclusively on
client clinical and case management needs.
ATTACHMENTS
P-300 #21394