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#PBT-0931-079765
Supplemental Questionnaire

Last Name
First Name

 

0931 MANAGER III (PBT-0931-079765)

DIRECTOR OF PATIENT ACCOUNTS

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 assist with determining if you possess the Minimum Qualifications for the 0931 Manager III – Director of Patient Accounts position as well as to determine your knowledge, skills, and abilities in job-related areas that have been identified as critical for satisfactory performance. 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 position. Questions #3 through #6 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 60% of the total weight of your 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
  • For questions #3 - #6, please limit responses to no more than 500 words for each question 
  • Review the questions first, prepare and save your responses in a word processing document, and then paste them into the online Supplemental Questionnaire
  • Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities

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.


1.

Please select the highest level of education that you have completed.

High School Diploma or equivalent
Associate's degree
Bachelor's degree
Master's degree
Doctoral degree
None of the above
 

Please list the school(s) where you obtained your degree(s), the discipline/field of study, and type of degree earned (e.g. Bachelor of Arts degree in Psychology from the San Jose State University). If you do not possess any of the degrees identified above, type N/A.

2a.

How much professional experience do you have in functional areas related to patient finance, eligibility, or compliance in a healthcare setting?

One (1) year of full-time experience is equivalent to 2,000 hours.

I have some, but less than one (1) year of experience
I have at least one (1), but less than two (2) years of experience
I have at least two (2), but less than three (3) years of experience
I have at least three (3), but less than four (4) years of experience
I have at least four (4), but less than five (5) years of experience
I have at least five (5), but less than six (6) years of experience
I have at least six (6), but less than seven (7) years of experience
I have at least seven (7), but less than eight (8) years of experience
I have at least eight (8), but less than nine (9) years of experience
I have nine (9) years of experience or more
I do not have any experience
2b.

How much of your professional experience referenced in #2a above included supervising eligibility, admitting, patient accounts, or other closely related professionals (e.g. healthcare billing, etc.)?

One (1) year of full-time equivalent experience is 2,000 hours.

I have some, but less than one (1) year of experience
I have at least one (1), but less than two (2) years of experience
I have at least two (2), but less than three (3) years of experience
I have at least three (3), but less than four (4) years of experience
I have at least four (4), but less than five (5) years of experience
I have at least five (5), but less than six (6) years of experience
I have at least six (6), but less than seven (7) years of experience
I have at least seven (7), but less than eight (8) years of experience
I have at least eight (8), but less than nine (9) years of experience
I have nine (9) years of experience or more
I do not have any experience
 

In accordance with your responses to #2a and #2b above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

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. If you do not have experience in these areas, please type N/A.

3.

From your experience, provide examples of when for your facility, you pursued reimbursement for medical services rendered from non-contracted sources. Detailed responses should include: 1) a commercial indemnity payer (e.g. travel or individual plans), 2) a Health Maintenance Organization (HMO) payer, and 3) a Preferred Provider Organization (PPO) payer. Each example should describe how you handled the situation and the outcome.

REMINDER: Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities

 

In accordance with your responses to #3 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

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. If you do not have experience in these areas, please type N/A.

4.

From your experience, describe a time when a Medicare patient was admitted to your facility with an unusually long stay of seventy (70) days or more. How did you ensure that your facility received maximum reimbursement for medical services rendered from both Medicare and the patient?

REMINDER: Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities

 

In accordance with your responses to #4 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

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. If you do not have experience in these areas, please type N/A.

5.

From your experience, describe an incident where patient accounts receivable was aging and deteriorating. How did you successfully resolve the issue? What were your ongoing management strategies to maintain the positive result/outcome?

REMINDER: Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities

 

In accordance with your responses to #5 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

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. If you do not have experience in these areas, please type N/A.

6.

From your experience, describe a significant contribution you have made to the career development of a subordinate or a situation where you intervened to address a serious personal or professional issue.

REMINDER: Ensure that your responses are sufficiently detailed to assist in evaluating your knowledge, skills, and abilities

 

In accordance with your responses to #6 above, please provide the name of the employer(s) and the dates (e.g. MM/YYYY – MM/YYYY) where you obtained the verifiable full-time equivalent work experience.

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. If you do not have experience in these areas, please type N/A.

 

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.