Official SealSan Joaquin County Human Resources Division


#0724-RO6115-SC
Supplemental Questionnaire

Last Name
First Name

 

Please provide responses to the following questions.  This supplemental questionnaire is an extension of your employment application and will be reviwed to thoroughly assess your qualifications.  Resumes are not accepted in lieu of completing this questionnaire.

When responding to questions relating to your work experience, please provide a detailed description that includes the name of your employer, dates of employment (beginning and end dates), job title, number of hours worked per week, and indicate if experience was paid or unpaid.


1.

PATTERN I

Do you possess at least one year of work at a level equal to or higher than Senior Office Assistant in San Joaquin County service which include electronic billing and follow-up in a medical or healthcare setting?

Yes No

1a.

If you answered Yes, please identify your paid work experience in San Joaquin County service equal to or higher than Senior Office Assistant that included electronic billing and follow-up in a medical or healthcare setting, and include in your application. 


2.

PATTERN II

Do you possess at least three (3) years of experience performing medical billing, including at least two (2) years functioning at a full-journey level performing Medi-Cal and/or Medicare electronic billing for a hospital or a high volume professional practice.

Note:  Journey-level experience is characterized as performing advanced clerical/technical duties.

Yes No

2a.

If you answered yes, please include all full-time paid medical billing experience that included at least two (2) years functioning at a full-journey level performing Medi-Cal and/or Medicare electronic billing for a hospital or a high volume professional practice in your application.