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#PBT-0922-088707
Supplemental Questionnaire

Last Name
First Name

 

0922 Manager I - Patient Accounts Manager (PBT-0922-088707)

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 0922 Manager I, Patient Accounts Manager 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 and #2 will be used to assess possession of the required education and experience for the Patient Accounts Manager 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 50% 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.
  • Answer all questions independently (e.g. do not reference your responses in prior questions). 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.

Select the statement that best matches the highest level of education you have completed. (One year is equivalent to 30 semester units/45 quarter units.)

No formal college education
One year of college education
Two years of college education or possession of an Associate's degree from an accredited college or university
Three years of college education
Possession of a Bachelor's Degree or higher from an accredited college or university
1b.

Referring to your response in Question #1a, please provide the name of the school you attended and the field of study for each degree you completed. If this does not apply to you, please type "N/A" in the box below.

2a.

How much full-time equivalent professional experience do you have in billing and collections in a hospital or healthcare clinic? (Full-time is equivalent to 40 hours per week.)

No experience
Less than 36 months of experience
36 to 47 months of experience
48 to 59 months of experience
60 to 71 months of experience
72 to 83 months of experience
84 or more months of experience
2b.

Referring to your answer in Question #2a, please provide a brief description of your verifiable work experience as indicated in Question 2a. In your answer, include details about your specific role, your primary duties, and the type of organization where you obtained your experience. If you selected "No Experience," please type N/A.

Do not type “See Resume.”

2c.

Please provide the name of the employer(s) and the dates of employment (e.g. MM/YYYY – MM/YYYY) where you obtained your verifiable full-time equivalent professional work experience as indicated in Questions #2a and #2b.

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.”


 

 

The remaining questions constitute the Supplemental Questionnaire Exam and will be scored by an expert panel. Please follow above instructions when completing this section.

 


3a.

Describe your experience in billing and/or collections for a hospital or healthcare clinic. In your response, include your role in the process, the types of agencies that you worked in, the payers that you billed/collected from, the types of forms that you used, and the annual amount of payments billed/collected.

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.

Based on your experience, describe how you have planned and led or directed the work of others including coworkers, subordinates, contractors, or consultants. What was your follow-up process to ensure that work was completed on time and accurately? What methodology did you utilize in planning the work of your team?

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.

Based on your past experience, describe a time when you encountered a complex billing or collection problem. What was the problem? What steps did you take to resolve the problem? What was the outcome?

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.