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#PBT-1664-094171
Supplemental Questionnaire

Last Name
First Name

 

1664 Patient Accounts Manager

The purpose of this Supplemental Questionnaire is to determine if you meet the minimum qualifications of the position.  The information you provide to the following questions does not substitute for the online application, and all information provided below MUST be consistent with the information listed on your application. You must still complete all sections of the online application. Please be sure to update all sections of your application prior to submission.

All information provided is subject to verification.  Please do not write, "See Application" or "See Resume" as a response. Resumes will not be reviewed.


1.

How many years of experience do you have billing, claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance, third party payors, and individual payors in a hospital, healthcare agency or healthcare billing organization?

As a reminder, all qualifying experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Employment Record" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your Employment Record before submitting your application.

I do not have any experience.
I have less than 1 year of experience.
I have at least 1 year of experience, but less than 2 years of experience.
I have at least 2 years of experience, but less than 3 years of experience.
I have at least 3 years of experience, but less than 4 years of experience.
I have at least 4 years of experience, but less than 5 years of experience.
I have at least 5 years of experince, but less than 6 years of experience.
I have 6 or more years of experience.
1a.

How many years of the experience you indicated above was in a supervising capacity?

As a reminder, all qualifying experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Employment Record" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your Employment Record before submitting your application.

Experience above was not in a supervising capacity.
Experience above includes at least 1 year, but less than 2 years in a supervising capacity.
Experience above includes at least 2 years, but less than 3 years in a supervising capacity.
Experience above includes at least 3 years, but less than 4 years in a supervising capacity.
Experience above includes at least 4 years or more in a supervising capacity.
1b.

Of the experience you indicated above, please specify the work setting you obtained your experience in.

As a reminder, all qualifying experience must be listed in the application in order to be considered in review of Minimum Qualifications. If you do not include the work experience you are about to describe in the "Employment Record" section of your application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your Employment Record before submitting your application.

Hospital
Healthcare agency
Healthcare billing organization
None of the above
2.

CERTIFICATION: By checking this box, I hereby certify that I am the author of the information supplied in this supplemental questionnaire.  I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Department of Public Health and City and County of San Francisco.  I also understand and agree that the information provided is subject to verification.