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#TEX-1070-904411
Supplemental Questionnaire

Last Name
First Name

 

1070 Epic Access and Revenue Cycle Manager  (TEX-1070-904411)

The purpose of this Minimum Qualification Supplemental Questionnaire is to assess whether the applicant meets the minimum qualifications for the classification. The minimum qualifications have been identified as critical for satisfactory performance in this classification. The information provided must be consistent with and supported by the information provided on your application and is subject to verificationPlease be sure to update all sections of your application prior to submission.

 


1.

Based on your Education, indicate the selection that best matches your HIGHEST educational attainment (do NOT count units that are in progress).

High School Diploma/G.E.D.
Attended some college and possess 30-59 semester units/45-89 quarter units of coursework from an accredited college or university.
Attended some college and possess 60-89 semester units/90-134 quarter units of coursework from an accredited college or university.
Completion of an Associates Degree from an accredited college or university.
Attended some college and possess 90+ semester units/135+ quarter units of coursework from an accredited college or university.
Completion of a Baccalaureate Degree from an accredited college or university.
Completion of a Master's degree from an accredited college or university.
Completion of the 1010 Information Systems Trainee Program.
None of the above.
2.

Based on your Education, indicate the subject matter below that best matches the major of your degree, or the majority of your coursework.

Computer Science
Other closely related field
Other unrelated field
Completion of the 1010 Information Systems Trainee Program.
None of the above
3.

How many years of verifiable full-time experience do you possess in system administration, information systems development, maintenance and support, or information technology project management?

One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40 hour work week). Any overtime hours that are worked above 40 hours per week are not included in the calculation to determine full-time employment.

I have less than 1 year of this type of experience.
I have at least 1 year (2,000 hours minimum) but less than 2 years (4,000 hours) of this type of experience.
I have at least 2 years (4,000 hours minimum) but less than 3 years (6,000 hours) of this type of experience.
I have at least 3 years (6,000 hours minimum) but less than 4 years (8,000 hours) of this type of experience.
I have at least 4 years (8,000 hours minimum) but less than 5 years (10,000 hours) of this type of experience.
I have at least 5 years (10,000 hours minimum) but less than 6 years (12,000 hours) of this type of experience.
I have at least 6 years (12,000 hours minimum) but less than 7 years (14,000 hours) of this type of experience.
I have at least 7 years (14,000 hours minimum) but less than 8 years (16,000 hours) of this type of experience.
I have at least 8 years (16,000 hours minimum) but less than 9 years (18,000 hours) of this type of experience.
I have at least 9 years (18,000 hours minimum) of this type of experience.
I have none of this type of experience.
4.

How many years of verifiable full-time supervisory experience do you possess in system administration, information systems development, maintenance and support, or information technology?

One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based no a 40 hour work week). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine full-time employment.

I have less than 1 year (2,000 hours minimum) of supervisory experience in system administration, information systems development, maintenance and support, or information technology.
I have at least 1 year (2,000 hours minimum) but less than 2 years (4,000 hours) of supervisory experience in system administration, information systems development, maintenance and support, or information technology.
I have at least 2 years (4,000 hours minimum) but less than 3 years (6,000 hours) of supervisory experience in system administration, information systems development, maintenance and support, or information technology.
I have at least 3 years (6,000 hours minimum) but less than 4 years (8,000 hours) of supervisory experience in system administration, information systems development, maintenance and support, or information technology.
I have at least 4 years (8,000 hours minimum) but less than 5 years (10,000 hours) of supervisory experience in system administration, information systems development, maintenance and support, or information technology.
I have at least 5 years (10,000 hours minimum) of supervisory experience in system administration, information systems development, maintenance and support, or information technology.
I have none of this type of experience.
5.

Please indicate which of the below Epic certifications, if any, that you currently possess. Please indicate all that apply.

Grand Central
Cadence
Prelude
HIM
Hospital Billing
Professional Billing
Home Health Billing
SBO Claims
None of the above.
 

CERTIFICATION: 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.