Agenda

Return

C. 55

To:	Board of Supervisors
From:	Anna Roth, Health Services
Date:	April 4, 2023

Contra

Costa

County

Subject:

Rescind Board Order No. 52148 & Add One Patient Financial Services Specialist position in Health Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/04/2023

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor

ABSENT:

Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Lauren Jimenez, 925-957-5262
cc:	Lauren Jimenez Kathi Caudel Christine Austin Dora Regalado

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: April 4, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

RESCIND Board action (Item C.37) taken on February 28, 2023 to reassign one Patient Financial Services Specialist; and ADOPT Position Adjustment Resolution No. 26138 to add one (1) Patient Financial Services Specialist (V9VB) at salary plan and grade 3RX-1176 ($4,547 - $5,806) in Public Health's California Children’s Services Unit within the Health Services Department. (Represented)

FISCAL IMPACT:

Upon approval, this action will result in an annual cost increase of approximately $123,846 with $27,020 in pension cost already included. This increase will be funded by 17.5% County General Fund allocation and 82.5% State/Federal CCS Funds. (Dept 0460, Org 5890)

BACKGROUND:

On February 28, 2023, the Department requested to reassign Patient Financial Services Specialist (V9VB) position #12448 from Hospital Financial Counseling (Dept 0540 / Org 6577) to Public Health's California Children’s Services - Admin unit (Dept 0460 / Org 5890); however, position no. 12448 was eliminated during the finance budget reconciliation which was effective on January 1, 2023.

BACKGROUND: (CONT'D)

To correct this error, the Health Services Department requests to rescind the Board action (Item C.37) taken on February 28, 2023, and instead requests approval to add one full-time Patient Financial Services Specialist position for the Public Health's California Children’s Services - Admin unit. This position will support the program's needs with administrative tasks in determining financial eligibility for over 4,500 clients within the program. Duties and responsibilities include interviewing patients to identify sources of payment on all inpatient and outpatient accounts including possible eligibility for federal, State and County assistance including Medicare, Medi-Cal, Basic Health Care, Short-Doyle, Health Coverage Initiative and Healthy Families programs; assisting patients in the completion of applications for various health coverage programs; and educating patients regarding available options to reimburse the County for health care services.

CONSEQUENCE OF NEGATIVE ACTION:

If this request is not approved, the program activities at California Children's Services in Public Health will be negatively affected.