2106 MEDICAL STAFF SERVICES DEPARTMENT SPECIALIST (PBT-2106-096090)
SUPPLEMENTAL QUESTIONNAIRE EXAMINATION
PLEASE READ THE FOLLOWING EXAMINATION INSTRUCTIONS CAREFULLY AS THEY CONTAIN INFORMATION THAT MAY AFFECT YOUR EXAMINATION SCORE AND RANK ON THE ELIGIBLE LIST.
Section I (A-F): To determine if you meet the minimum qualifications of the position.
Section II(1-4): ACCOUNTS FOR 100% OF YOUR FINAL SCORE and will be assessed and scored by an expert review panel. Your application or additional documents (e.g. resumes, cover letters, letters of reference, etc.) will NOT be considered during the scoring process. The supplemental questionnaire will be evaluated to rate your experience as it relates to the knowledge, skills, and abilities linked to the essential functions of the position. Please respond to all questions, provide complete answers and be specific when responding, as your score and rank on the eligible list will be based on the information provided. You must meet the minimum qualifications and achieve a passing score to be placed on the eligible list in rank order according to your final score. Candidates will be placed on the eligible list in rank order according to their final score. A passing score must be achieved in order to be placed on the eligible list. It is suggested:
When describing your examples of work, present your BEST examples
Review questions, prepare and save your responses in a word processing document, and then paste them into the online Supplemental Questionnaire
Allow yourself enough time to complete the EXAM (Supplemental Questionnaire) questions before the deadline; this eliminates room for errors
Be concise, yet thorough and use FACTUAL data
Provide ALL information requested even if it may appear repetitious or redundant
Provide detailed responses to assist to evaluate your knowledge, skills, and abilities
Responses are subject to verification and should be consistent with your application
Please note: All experience and education referenced in this questionnaire must also appear in the work history and education sections of you application
Keep copies of all documents submitted, as these will not be returned
Don'ts: DO NOT leave questions unanswered. If a question does not relate to you, write in the most closely related answer possible. DO NOT provide incomplete answers, blank, or inconsistent information. DO NOT plagiarize, copy others' answers, or falsify information.
Do not answer "see resume", "see application" or copy and paste your resume.
Once you click on the submit button, your application and examination (supplemental questionnaire) are subject for review. Responses cannot be changed or edited after submission.
*If you have technical difficulties, make note of any error messages and contact the analyst BEFORE the filing deadline.
A.
How much experience do you have working in a Medical Staff Services or similar department?
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 "Work History" section of you application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your work history section before submitting your application.
I do not have experience working in a Medical Staff Services Department
I have less than six months (1,040 hours) of experience working in a Medical Staff Services Department or similar department
I have at least six months (1,040 hours), but less than one year (2,000 hours) of experience working in a Medical Staff Services Department or similar department
I have at least one year (2,000 hours), but less than two years (4,000 hours) of experience working in a Medical Staff Services Department or similar department
I have two years (4,000 hours) or more of experience working in a Medical Staff Services Department or similar department
B.
Do you possess certification as a Certified Professional in Medical Services Management (CPMSM)?
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 "Work History" section of you application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your work history section before submitting your application.
Yes
No
C.
Do you possess certification as a Certified Provider Credentialing Specialist (CPCS)?
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 "Work History" section of you application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your work history section before submitting your application.
Yes
No
D.
How much verifiable experience in the past five years do you have working in the medical services profession?
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 "Work History" section of you application, you will not receive credit for this experience. If you are copying an old application, please take the time to update your work history section before submitting your application.
I have been employed in the medical services profession for less than 6 months (1,040 hours) in the past five years
I have been employed in the medical services profession for at least 6 months (1,040 hours) but less than 1 year (2,000 hours) in the past five years
I have been employed in the medical services profession for at least 1 year (2,000 hours) but less than 2 years (4,000 hours) in the past five years
I have been employed in the medical services profession for at least 2 years (4,000 hours) but less than 36 months (6,000 hours) in the past five years
I have been employed in the medical services profession for at least 3 years but less than 4 years (8,000 hours) in the past five years
I have been employed in the medical services profession for 4 years (8,000 hours) but less than 5 years (10,000 hours) in the past five years
I have been employed in the medical services profession for at least 5 years (10,000 hours) in the past five years
E.
Select the statement that best matches your verifiable experience performing credentialing functions in the last five years.
I do not have verifiable experience performing credentialing functions
I have less than six months (1,040 hours) of verifiable experience performing credentialing functions in the last 5 years
I have at least six months (1,040 hours) but less than one year (2,000 hours) of verifiable experience performing credentialing functions in the last 5 years
I have at least one year (2,000 hours) but less than two years (4,000 hours) of verifiable experience performing credentialing functions in the last 5 years
I have at least 2 years (4,000 hours) but less than 3 years (6,000 hours) of verifiable experience performing credentialing functions in the last 5 years
I have at least 3 years (6,000 hours) but less than 4 years (8,000 hours) of verifiable experience performing credentialing functions in the last 5 years
I have at least 4 years (8,000 hours) but less than 5 years (10,000 hours) of verifiable experience performing credentialing functions in the last 5 years
I have 5 years (10,000 hours) or more of verifable experience performing credentialing functions in the last 5 years
F.
What functions do you perform. Check all that apply:
Credentialing
Privileging
Process reappointment/recredentialing applications
Process practioner requests for privleges
Audits
Prepare and document minutes
Primary source verification
Process initial appplications
I have not performed the above duties
I have performed some of these duties but not within the last five years
1.
Being successful as a Medical Staff Services Department Specialist often depends upon having good relationships with others. Describe a challenging credentialing experience and how your relationships with others impacted your work.
2.
Describe your role in credentialing, privileging, and primary source verification to support patient safety and quality care. What was your role? What are some of the challenges you have faced?
3.
Describe an instance when you were particularly effective at prioritizing tasks to complete a project on time. How did you determine the top priorities? How did you ensure all tasks were accomplished? What tools did you use?
4.
Describe a difficult credentialing experience you have encountered.
What was the situation?
Who were the stakeholders?
What regulations had to be considered and why?
How did this impact the organziation?
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.
Department of Human Resources