2106 MEDICAL STAFF SERVICES DEPARTMENT SPECIALIST (PBT-2106-073530)
SUPPLEMENTAL QUESTIONNAIRE EXAMINATION
PLEASE READ THE FOLLOWING EXAMINATION INSTRUCTIONS CAREFULLY AS THEY CONTAIN INFORMATION THAT MAY AFFECT YOUR EXAMINATION SCORE AND RANK ON THE ELIGIBLE LIST.
Section I (1-3): To determine if you meet the minimum qualifications of the position.
Section II(4-7): ACCOUNTS FOR 100% OF YOUR FINAL SCORE and will be assessed and scored by an expert review panel. Your application or additional documents (e.g. resumes, cover letters, letters of reference, etc.) will NOT be considered during the scoring process. The supplemental questionnaire will be evaluated to rate your experience as it relates to the knowledge, skills, and abilities linked to the essential functions of the position. Please respond to all questions, provide complete answers and be specific when responding, as your score and rank on the eligible list will be based on the information provided. You must meet the minimum qualifications and achieve a passing score to be placed on the eligible list in rank order according to your final score. Candidates will be placed on the eligible list in rank order according to their final score. A passing score must be achieved in order to be placed on the eligible list. It is suggested:
When describing your examples of work, present your BEST examples
Review questions, prepare and save your responses in a word processing document, and then paste them into the online Supplemental Questionnaire
Allow yourself enough time to complete the EXAM (Supplemental Questionnaire) questions before the deadline; this eliminates room for errors
Be concise, yet thorough and use FACTUAL data
Provide ALL information requested even if it may appear repetitious or redundant
Provide detailed responses to assist to evaluate your knowledge, skills, and abilities
Responses are subject to verification and should be consistent with your application
Please note: All experience and education referenced in this questionnaire must also appear in the work history and education sections of you application
Keep copies of all documents submitted, as these will not be returned
Dont's: DO NOT leave questions unanswered. If a question does not relate to you, write in the most closely related answer possible. DO NOT provide incomplete answers, blank, or inconsistent information. DO NOT plagiarize, copy others' answers, or falsify information. Do not answer "see resume", "see application" or copy and paste your resume.
Once you click on the submit button, your application and examination (supplemental questionnaire) are subject for review. Responses cannot be changed or edited after submission.
*If you have technical difficulties, make note of any error messages and contact the analyst BEFORE the filing deadline.
By checking this box, I acknowledge that I have read, understood, and agreed to the above listed instructions regarding the 2106 Supplemental Questionnaire Examination.
1.
How much experience do you have working in a Medical Staff Services or similar department?
I do not have this experience
I have less than six months of experience working in a Medical Staff Services Department or similar department
I have at least six months, but less than one year of experience working in a Medical Staff Services Department or similar department
I have at least one year, but less than two years of experience working in a Medical Staff Services Department or similar department
I have two years or more of experience working in a Medical Staff Services Department or similar department
1a.
For the experience you indicated above please indicate which setting(s) you worked in
Medical Staff Services Department
Department similar to a Medical Staff Services Department
Other type of department
1b.
Please include the following information for the verifiable experience you indicated above:
Name of employer
Your Job Title
Dates of employment (MM/YYYY-MM/YYYY)
Name and contact information of supervisor/manager who can verify the experience
If you do not have this experience, please type "N/A" . If you answered "Other" above, please list the type of department
2a.
Do you possess certification as a Certified Provider Credentialing Specialist (CPCS)?
Yes
No
2b.
Do you possess certification as a Certified Professional in Medical Services Management (CPMSM)?
Yes
No
3.
How many months in the past five years have you been employed in the medical services profession?
I have been employed in the medical services profession for less than 12 months in the past five years
I have been employed in the medical services profession for at least 12 months but less than 24 months in the past five years
I have been employed in the medical services profession for at least 24 months but less than 36 months in the past five years
I have been employed in the medical services profession for at least 36 months but less than 48 months in the past five years
I have been employed in the medical services profession for more than 48 months in the past five years
4.
Describe a time you had to coordinate and interact with a number of different contacts and/or customers to ensure the smooth operation of your duties.
Please provide the following information for the experience you indicated in the previous question:
Name of the employer(s) where your experience was obtained
Job Title/Position
Contact information of supervisor or manager who can verify the information
Please type N/A if you do not have experience
Note: Please do not type "See Resume" or "See Attachment" as a response. Do not copy and paste resume. *Make sure that this experience is included on the application
5.
Describe a time when you were particularly effective at prioritizing tasks to complete a project on time. What was the project and how did you prioritize?
Please provide the following information for the experience you indicated in the previous question:
Name of the employer(s) where your experience was obtained
Job Title/Position
Contact information of supervisor or manager who can verify the information
Please type N/A if you do not have experience
Note: Please do not type "See Resume" or "See Attachment" as a response. Do not copy and paste resume. *Make sure that this experience is included on the application
6.
Describe the computer systems and/or programs you use in your daily work day. Include a specific project you worked on and the computerized systems and/or programs you used to complete your project.
Please provide the following information for the experience you indicated in the previous question:
Name of the employer(s) where your experience was obtained
Job Title/Position
Contact information of supervisor or manager who can verify the information
Please type N/A if you do not have experience
Note: Please do not type "See Resume" or "See Attachment" as a response. Do not copy and paste resume. *Make sure that this experience is included on the application
7.
Describe a complex project you worked on where your organizational skills were extremely important. What did you do to stay organized? How did you monitor and evaluate your progress on the project?
Please provide the following information for the experience you indicated in the previous question:
Name of the employer(s) where your experience was obtained
Job Title/Position
Contact information of supervisor or manager who can verify the information
Please type N/A if you do not have experience
Note: Please do not type "See Resume" or "See Attachment" as a response. Do not copy and paste resume. *Make sure that this experience is included on the application
CERTIFICATION: By checking this box, I hereby certify that I am the author of the information supplied in this supplemental questionnaire. I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Department of Public Health and City and County of San Francisco. I also understand and agree that the information provided is subject to verification.
Department of Human Resources