Official SealDepartment of Budget and Management


#24-001443-0003
Supplemental Questionnaire

Last Name
First Name

 

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 


1

Bilingual applicants are encouraged to apply.

Are you able to speak, read and write in both English and another language?

Yes No
2

If yes, please note the languages of which you are bilingual.  Please also indicate if you are able to read, write and speak fluently in the languages.

3

Describe in 1-3 paragraph(s), your experience with Medical Billing.

Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

4

Describe your experience working with electronic medical records.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.

5

Describe in 1-3 paragraph(s), your experience managing an outpatient medical clinic.

Do not copy and paste from your resume. Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.
6

Describe your experience with medical ICD-10 and CPT coding.

Please include name of employer, job title, dates of employment, and hours worked per week.  This information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.


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