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#PBT-1662-085617
Supplemental Questionnaire

Last Name
First Name

 

1662 Patient Accounts Assistant Supervisor (PBT-1662-085617)

SUPPLEMENTAL QUESTIONNAIRE EXAMINATION

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY

YOUR SCORES FROM THIS SUPPLEMENTAL QUESTIONNAIRE EXAMINATION WILL BE DERIVED FROM THE QUALITY OF YOUR RESPONSES

 

The purpose of the Supplemental Questionnaire is to determine if you meet the Minimum Qualifications for the 1662 Patient Accounts Assistant Supervisor position as well as to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance in this position. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities.

Questions #1 through #2 will be used to assess possession of the required education and experience for the Patient Accounts Assistant Supervisor position. Questions #3 through #5 will be assessed and scored by an expert review panel. Your application or additional attached documents (e.g. resumes, cover letters, letters of reference/recommendation, etc.) will NOT be considered during the scoring process.

The Supplemental Questionnaire will account for 100% of the total weight of the applicant’s final score. Insufficient or non-responsive answers to the Supplemental Questionnaire may result in ineligibility, disqualification, or lower scores.

It is suggested that you:

  • Allow ample time to submit your application and Supplemental Questionnaire responses before the filing deadline.
  • Review the questions first, prepare and save your responses in a word processing document, and then paste them into the online Supplemental Questionnaire.
  • Be concise but thorough. Ensure that you address all parts of the question. Your written communication skills will be evaluated based on your responses.
  • Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities.
  • Provide your best or highest examples of work.
  • Provide all information requested even if they appear redundant. Do not write "see application" or "see resume" as a response.

If you experience technical difficulties, make note of any error messages and contact the analyst before the filing deadline. Responses should be consistent with the information on your employment application and are subject to verification.


1a.

How much full-time equivalent experience do you have billing and/or collecting medical claims from Medi-Cal (Medicaid), Medicare, third party payors, and individual payors in an acute care facility, a hospital consulting firm, a large insurance company or a skilled nursing facility? (Full-time is equivalent to 40 hours per week.)

No experience
Less than 24 months of experience
24 to 47 months of experience
48 or more months of experience
1b.

Referring to your response to Question 1a, please indicate the setting(s) in which you obtained your verifiable experience. (Check all that apply.)

Acute care facility
Hospital consulting firm
Large insurance company
Skilled nursing facility
None of the above
1c.

Referring to your answers in Questions 1a and 1b, please provide a brief description of your verifiable work experience as indicated in Questions 1a and 1b. In your answer, include details about your specific role, your primary duties (whether you collected or billed medical bills), and the type of insurances that you billed. If you selected "No Experience," please type N/A.

Do not type “See Resume.”

2.

Do you have at least six (6) months (equivalent to 1,000 hours) of experience or equivalent training in preparation of input data for a computer?

Yes No

 

 

The remaining questions constitute the Supplemental Questionnaire Exam and will be scored by an expert panel.

 


3a.

Please describe your experience billing, collecting and/or posting payments for medical claims from Medi-Cal (Medicaid), Medicare, third party payors, and individual payors in an acute care facility, a hospital consulting firm, a large insurance company, home health or a skilled nursing facility. In your response, include the types of processes, systems and software you utilized to complete the work.

3b.

Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable work experience as indicated in Question #3a.

In addition, please list the name of (a) supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you selected that you do not have experience, please type "N/A" in the box below.

Do not type “See Resume.”

4a.

Provide a specific example of a time when you collaborated with other departments or agencies to resolve a complex problem.

4b.

Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable work experience as indicated in Question #4a.

In addition, please list the name of (a) supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you selected that you do not have experience, please type "N/A" in the box below.

Do not type “See Resume.”

5a.

Please describe a specific task or project where you acted as a lead and was responsible for the outcome. In your response, describe the project goal, your specific role, the role of the other parties involved in the project, how the project was completed, the project outcome and the impact of the project.

5b.

Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable work experience as indicated in Question #5a.

In addition, please list the name of (a) supervisor(s) or manager(s) who can verify the information provided as well as his or her contact information. If you indicated that you do not have experience, please type "N/A" in the box below.

Do not type “See Resume.”

 

CERTIFICATION: I hereby certify that all information is true and based on my education, training, skills, and experience. I understand that any false or incorrect statement may result in my disqualification of the selection process for this position and/or dismissal from employment with the City and County of San Francisco. I also understand and agree that any information provided is subject to verification.