2908 Senior Hospital Eligibility Worker
|Date Opened||12/7/2018 08:00:00 AM|
|Filing Deadline||12/21/2018 5:00:00 PM|
|Salary||$34.24 - $41.61/hour|
|Job Type||Temporary Exempt|
2908 SENIOR HOSPITAL ELIGIBILITY WORKER
Appointment Types: Temporary or Permanent Exempt.
These positions are excluded by the Charter from the competitive Civil Service examination process and shall serve at the discretion of the Appointing Officer, and the duration shall not exceed two years.
Please note, the applicant pool from this recruitment may be used to fill future temporary vacancies in this class that may be at other locations
Zuckerberg San Francisco General Hospital and Trauma Center's (ZSFG) Patient Financial Services Eligibility Department is accepting applications for two (2) full-time Temporary Exempt (TEX Category 17) positions and one (1) full-time Permanent Exempt (PEX Category 17) position.
Locations and Shifts:
Position 1 (PEX): ZSFG Inpatient Eligibility; Monday - Friday 8:00 am - 5:00 pm
Position 2 (TEX): ZSFG Inpatient Eligibility; Monday - Thursday 8:00 am - 5:00 pm, Sunday 7:00 am - 3:30 pm
Position 3 (TEX): Community Oriented Primary Care - Castro and Mission Health Center; Monday-Friday 8:00 am - 5:00 pm; Special Condition: Spanish bilingual proficiency
General Job Description:
Essential Duties: Under general supervision, the Senior Hospital Eligibility Worker performs financial counseling, screening and enrollment for medical coverage under the terms of various private and public health care and financial assistance programs, including Medi-Cal and Medicare to maximize hospital reimbursement and facilitate patient care. Depending on the position location, duties may vary. The essential functions include:
Interviews patients, their relatives and others to identify and determine patient eligibility for coverage of medical care under various Federal or State programs, private or other health care plans;
Counsels patients about eligibility, billing policies, reimbursement programs, qualification standards, procedures and payment options;
Investigates payor requirements by obtaining benefits information, notifies insurance plans of patients treatment needs; Assists patients and their representatives to apply for Medi-Cal, California Children Services and other Federal, State and County reimbursement programs;
Assists in registering patients into the hospital;
Communicates accurate financial reimbursement information and eligibility verification to health care professionals to aid in treatment planning;
Enters patient data into hospital database and into computer programs to set up billing accounts for patients, file monthly reports, write correspondence, track production and update patient accounts;
Prepares, updates and maintains records related to patient eligibility information and health care payment received. Determines patient eligibility for third party payment sources according to established policies and procedures, including private health insurance plans, victims of crime, worker’s compensation and lawsuit settlements;
Maintains resource materials regarding regulations and procedures, procedural memos and training material and keeps current with changes in laws, policies and procedures;
Prepares patient budget to determine eligibility for coverage of medical care; and
Regulates patient finances to maintain patient eligibility and entitlement to various benefits; facilitates burial arrangements and final disposition of patient estate.
The Senior Hospital Eligibility Worker performs other related duties as required/assigned.
Two (2) years of experience performing the duties of an Eligibility Worker in a hospital, medical clinic, Medi-Cal unit or a community-based health organization. The work experience must include determining eligibility for various Federal, State and county programs that reimburse for medical care.
License and Certification:
Must obtain Certified Enrollment Counselor Certification for Covered California and pass federal background check within 3 months of hire.
Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.
Special Condition - Bilingual Proficiency:
Some position(s) may require bilingual fluency in a variety of languages depending upon the department's bilingual needs. Only those eligible candidates who pass the bilingual proficiency test will be considered for bilingual positions. Applicants must indicate on the application form the language(s) in which they claim proficiency. For positions requiring bilingual fluency, candidates must pass a department approved language proficiency exam prior to appointment.
Condition(s) of Employment: Must obtain Certified Enrollment Counselor Certification for Covered California and pass federal background check within 3 months of hire.
Certification: Eligibles appointed to the position who do not possess Certified Enrollment Counselor Certification for Covered California will be required to obtain the Certified Enrollment Counselor Certification within 3 months of hire. Certified Enrollment Counselor Certification must be kept valid and be maintained throughout the length of employment. Failure to demonstrate/show proof of possession of valid certification within 3 months of hire date and throughout length of employment may result in dismissal and/or termination of employment. A photocopy of the valid Certified Enrollment Counselor Certification must be provided to the appropriate supervisor within the allotted time frame (within three (3) months of hire).
Background Investigation Requirement: Eligibles appointed to the position must pass a Federal Background check within 3 months of hire and it must be maintained throughout the length of employment. Failure to pass federal background investigation within 3 months of hire date and maintain clearance throughout length of employment may result in dismissal and/or termination of employment.
Standard Computer Keyboard Operation Requirement: During the probationary period, successful candidates will be required to demonstrate the ability to utilize a computer to perform assignments. Failure to perform this function may result in dismissal and/or termination from employment.
Verification of Experience: http://sfdhr.org/getting-job#verification
Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process.
Verification of Education: If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at http://sfdhr.org/how-verify-education-requirements
Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.
How To Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.
- Select the desired job announcement
- Select “Apply” and read and acknowledge the information
- Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
- Follow instructions on the screen
Computers are available for the public (from 8:00 a.m. to 5:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor, San Francisco.
Applicants may be contacted by email about this announcement and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date. Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter. To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu).
Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.
All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline. Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.
Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.
If you have any questions regarding this recruitment or application process, please contact the exam analyst, Jennifer Magnusson, by telephone at 415-554-2522, or by email at Jennifer.Magnusson@sfdph.org.
As a finalist for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a finalist. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:
- Candidates for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.
- Candidates for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.
Having a conviction history does not automatically preclude you from a job with the City.
If you are selected as a finalist, the hiring department will contact you to schedule a fingerprinting appointment.
Disaster Service Workers
Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout length of employment. Failure to demonstrate/show proof of possession of required valid licensure/certification/registration may result in dismissal and/or termination of employment.
Note on Electronic Health Record (EHR): The Department of Public Health (DPH) is implementing a unified Electronic Health Record (EHR) system and DPH employees must demonstrate competency in the use of the system that is appropriate for their classification as a condition of employment.
Note on ICARE: Willingness to uphold/abide by ZSFG's ICARE (I-Introduce, C-Connect, A-Ask, R-Respond, E-Exit) philosophy for employee and patient interactions. https://zuckerbergsanfranciscogeneral.org/about-us/
Note on Personal Protective Equipment (PPE): Some positions in the Department of Public Health will require the use of personal protective equipment (PPE), including but not limited to gloves, gowns, eye and face protection, and face-fitting respirators. The requirement for the use of PPE may come on short or no notice. Facial hair or any condition that interferes with a face-fitting respirator’s seal (i.e. comes between the sealing surfaces of the respirator and the wearer’s bare skin) is not permitted when face-fitting respirators are worn, including during initial or periodic respirator fit-testing. Employees who choose not to shave and do not have either American Disabilities Act (ADA) or Equal Employment Opportunity (EEO) Accommodations do not have the right to alternate work assignments or the option of using a loose-fitting Powered Air Purifying Respirator (PAPR) in place of a FaceFitting Respirator.
Medical Examination/Drug Testing: Prior to appointment, at the Department's expense, applicants may be required to take a tuberculosis (TB) screening test, a medical examination and/or drug test.
General Information concerning City and County of San Francisco Employment Policies and Procedures:
Important Employment Information for the City and County of San Francisco can be obtained at http://sfdhr.org/information-about-hiring-process or hard copy at 1 South Van Ness Avenue, 4th Floor.
Copies of Application Documents:
Applicants should keep copies of all documents submitted, as these will not be returned.
Right to Work:
All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.
Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at:
Issued: December 7, 2018
Human Resources Director
Department of Human Resources
Recruitment ID Number: TEX-2908-091558
DPH/ JM/ 415-554-2522/Pos. 01094828, 01106386, 01066376
All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.