File #: 19-1488    Version: 1
Type: Agenda Item Status: Approved
File created: 10/1/2019 In control: Board of Supervisors
On agenda: 10/22/2019 Final action: 10/22/2019
Title: Human Resources Department and Chief Administrative Office recommending the Board consider the following: 1) Adopt and authorize the Chair to sign Resolution 180-2019 to accomplish the following: a) Establish the job classification specification, salary range, and bargaining unit for the new classification of Medical Billing Technician; b) Amend the Personnel Allocation to add 1.0 FTE Medical Billing Technician position and 1.0 FTE Administrative Analyst I/II position in the Chief Administrative Office; and c) Abolish the Sr. Medical Billing Assistant and Medical Billing Supervisor classifications. 2) Authorize the establishment of a new org code in the EMS and Emergency Preparedness Division for Ambulance Billing; 3) Approve a budget transfer increasing revenues and appropriations in the new Ambulance Billing org. (4/5 vote required to approve budget transfer) FUNDING: Ambulance Billing Revenue in County Service Areas 3 and 7.
Attachments: 1. A - Medical Billing Technician 10-22-19, 2. B - Resolution 10-22-19, 3. C - Approved Blue Route 10-22-19, 4. D - Budget Transfer, 5. Executed Resolution 180-2019
Related files: 19-1241, 20-0702, 20-0482, 19-1673, 19-1674
Title
Human Resources Department and Chief Administrative Office recommending the Board consider the following:
1) Adopt and authorize the Chair to sign Resolution 180-2019 to accomplish the following:
a) Establish the job classification specification, salary range, and bargaining unit for the new classification of Medical Billing Technician;
b) Amend the Personnel Allocation to add 1.0 FTE Medical Billing Technician position and 1.0 FTE Administrative Analyst I/II position in the Chief Administrative Office; and
c) Abolish the Sr. Medical Billing Assistant and Medical Billing Supervisor classifications.
2) Authorize the establishment of a new org code in the EMS and Emergency Preparedness Division for Ambulance Billing;
3) Approve a budget transfer increasing revenues and appropriations in the new Ambulance Billing org. (4/5 vote required to approve budget transfer)

FUNDING: Ambulance Billing Revenue in County Service Areas 3 and 7.
Body
DISCUSSION / BACKGROUND
Effective July 1, 2019, the Emergency Medical Services and Emergency Preparedness & Response (EMS-EP) programs were transferred from the Health and Human Services Agency (HHSA) to the Chief Administrative Office (CAO). At that time, the Ambulance Billing function remained with HHSA. After the program transfer, staff has evaluated the placement of the Ambulance Billing function. The evaluation determined that it would be more efficient to transfer the Ambulance Billing function to the CAO’s office where the program and fiscal components would be centralized. At the Board of Supervisors August 27th meeting, the Board conceptually approved the transfer of the Ambulance Billing function from HHSA to the CAO’s office, which also noted that the CAO’s office would return to the Board with an amendment to the personnel allocation.

CAO staff have met with HHSA staff to develop a plan to transition to the new billing vendor. CAO staff are currently negotiating a contract with Wittman Enterprises to take ov...

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