Human Resource Services Department

Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants. 

Responses should be thorough and specific.  A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position.  Clarity of expression, content, experience, grammar, spelling and the ability to follow instructions will be considered in the evaluation process.  A resume will not be accepted as a substitute for properly completed responses.

Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment.  Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.

The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position.  Only the best and most suitably qualified candidates will be invited to participate in the oral interviews. 

By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process.  Do you understand the above statement?

Please describe your experience verifying insurance coverage, and reviewing, evaluating, editing and processing claims for payment in a health care environment. In your response be sure to include the name of the health care organization where your experience was gained, your title, length of time performing these duties (include dates of employment), and a description of your tasks.

List some of the resources you would use to verify eligibility for a variety of insurance plans/programs in a health care environment.

Please list the computer systems and applications which you are proficient using below (i.e. Word, Excel, Access, etc.). Be sure to include your data entry experience using automated billing software systems (identifying the names of such systems) and your scope of work using each.

Describe how you stay current with policies and requirements for an array of administered insurance plans (e.g. Medi-Cal and Children’s Indigent Plan) and other regulations as they relate to insurance benefit plan/program eligibility.

Describe your knowledge of/experience with Federal, State, and local health care laws, rules, and regulations as they relate to claims processing.

Describe your experience with resolving issues on the status of claims. Please include your experience, if any, regarding addressing/resolving appeals.