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#TEX-1636-904424
Supplemental Questionnaire

Last Name
First Name

 

1636 Health Care Billing Clerk II (TEX-1636-904424)

All applicants are required to complete the supplemental questionnaire as part of the online application process. The questionnaire will be used to assess each candidate’s possession of the minimum qualifications and their knowledge, skills and abilities as it pertains to the position.

Responses to items on the supplemental questionnaire must be supported by the information provided on the application. This information is subject to verification. Please be sure to include all relevant education and experience in the work history and education sections of the application. Resumes are not used or reviewed to determine whether you meet the minimum qualifications or to determine your score/rank. A resume should not be submitted to substitute for a completed application. If you write "see resume" on the application, or on the supplemental questionnaire, your application may be rejected.

If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.

By continuing, you hereby certify that you are the author of the information supplied in this supplemental questionnaire.  You understand that any false or incorrect statements may result in your disqualification or dismissal from employment with the City and County of San Francisco.  You also understand and agree that the information provided is subject to verification.


 

How much experience you do possess 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?

No experience with billing, claims processing and/or collecting healthcare service reimbursements or medical claims
1 to 5 months of experience with billing, claims processing and/or collecting healthcare service reimbursements or medical claims
6 to 11 months of experience with billing, claims processing and/or collecting healthcare service reimbursements or medical claims
12 months or more of experience with billing, claims processing and/or collecting healthcare service reimbursements or medical claims
 

Have you completed 15 semester units or 22 quarter units of medical billing related coursework from an accredited college or university?

Yes No
 

I understand this is a Temporary position limited to 1040 hours, and serves at the discretion of the appointing officer.

 
I understand that checking this box will serve as my electronic signature. I certify that I am the author of this questionnaire and all information presented is true and based upon my education, training, skills, and experience. I understand and agree that any information provided is subject to verification. I also understand that any false, incomplete, or incorrect statement may result in disqualification, termination, or dismissal from employment with the City and County of San Francisco.