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#PBT-1663-080568
Supplemental Questionnaire

Last Name
First Name

 

SUPPLEMENTAL QUESTIONNAIRE EXAMINATION

1663 Patient Accounts Supervisor (PBT-1663-080568)

PLEASE READ THE FOLLOWING EXAM INSTRUCTIONS CAREFULLY AS THEY CONTAIN INFORMATION THAT MAY AFFECT YOUR SCORE AND RANK ON THE ELIGIBLE LIST

The purpose of this Supplemental Questionnaire (SQ) is to determine if you meet the Minimum Qualifications of the position AND to determine your knowledge, skills, and abilities in job related areas identified as critical for satisfactory performance in this position.

The quality of your responses will account for 100% of the total weight of your final score. A passing score must be achieved in order to be placed on the eligible list. Successful candidates will be placed on the eligible list in rank order according to their final score.

Questions A and B of the SQ will be used to assess possession of the required  experience of the position.

Questions 1 - 5 will be used to assess your knowledge, skills, and abilities deemed critical for this position and will be scored by an expert review panel to determine your score. No attachments or additional documents such as resumes, cover letters, or your application will be considered during the scoring process (i.e. Writing ‘see resume’ or ''N/A’ is not a sufficient response). Insufficient or non-responsive answers to the SQ may result in disqualification from the recruitment process.

It is suggested that you review the questions before starting and prepare and save your responses in a word processing document, and then paste them into the online questionnaire. Please limit responses to no more than one (1) page per question unless otherwise instructed. Responses should be sufficiently detailed to assist in evaluating your qualifications for this position. Please be complete and specific in answering the questions as your score will be based on this information. If a question does not relate to you, provide the most closely related answer possible.

It is recommended that you allow for ample time to submit your SQ responses with your application before the closing deadline.

The responses that you provide to this questionnaire must be consistent with the information on your application, and are subject to verification.

Once you click on the submit button, your application and supplemental questionnaire are subject for review. Responses cannot be changed or edited after submission.


A.1

How many years experience do you have in billing, claims processing and/or collecting medical or healthcare services reimbursements from Medicare, Medi-Cal and third-party payers, and individual payers in an acute care hospital, skilled nursing facility, a hospital consulting firm, hospital collection agency or a healthcare agency?

No experience
Less than one (1) year
At least one (1) year, but less than two (2) years
At least two (2) years, but less than three (3) years
At least three (3) years, but less than four (4) years
Four (4) years or more
A.2

Additionally, 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 as well as the name of the company where you gained this experience. If you do not have experience in these areas, please type N/A.

B.1

Do you have two years (4,000 hours) or more of experience supervising clerical or technical staff in the last five (5) years?

Yes No
B.2

Additionally, 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 as well as the name of the company where you gained this experience. If you do not have experience in these areas, please type N/A.

1.

Describe in detail your experience coordinating and supervising staff.  In your response, please include the following:

A. The number of staff you supervise

B. Subordinate staff job title(s)

C. The setting

D. What did you do to make the team successful?

 

2.

Please describe in detail your work experience with Commercial, Medicare and Medi-Cal payer regulations.

3.

Please describe in detail your experience using computerized billing systems.  In your response, please include the program(s) used, your proficiency with each, and how you solved an issue or problem through your knowledge of the system(s)/program(s).

4.

Please provide detail of your accounting experience.  In your response, include what software you have utilized, your role in the process and what types of reports you run on a regular basis.  In addition, highlight a challenge you faced in an auditing function, describing why it was challenging and how you overcame that issue.

5.

Please describe an example of a successful resolution involving a conflict with a team member. What was the situation and what steps did you take to resolve the problem?  Why was it successful?

 

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.