2908 Senior Hospital Eligibility Worker

Recruitment #CBT-2908-901699

Introduction

2908 SENIOR HOSPITAL ELIGIBILITY WORKER

This announcement has been reissued to reflect changes to the minimum qualifications and the certification rule.  Applicants who already applied need not reapply.

The eligible list resulting from this Class Based Test (CBT) announcement will be used to fill current and future vacancies in this class. Positions may be located throughout the Department of Public Health, the San Francisco Health Network, and various clinics throughout the City and County of San Francisco. This includes, but is not limited to:

  • Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG), a large acute care teaching hospital which provides a Level 1 Trauma Center for the City and County of San Francisco and offers a comprehensive range of inpatient, ambulatory, skilled nursing care and has been a partner with the University of California San Francisco School of Medicine (UCSF) since 1872.
  • Laguna Honda Hospital and Rehabilitation, a long term care facility which provides skilled nursing, intensive rehabilitation, acute medical, AIDS/HIV, dementia care, and hospice care.
  • Community Behavioral Health Services (CBHS), a specialty mental health and substance abuse treatment and preventative healthcare system which consists of organizational providers with contractor agencies and city-owned clinics, and a large private practitioner network.
  • Community Oriented Primary Care Clinics (COPC) the SF Health Network provides primary care that is patient and family-centered, comprehensive, team-based and focused on quality and safety. Primary care teams collaborate with patients to deliver health promotion, disease prevention, health maintenance, counseling, health education, diagnosis and treatment of acute and chronic illnesses.

Shift: Variable depending on position location. Days, evenings, nights, weekends, and/or holiday shifts may be required.

 

Essential Duties:  Under general supervision, the Senior Hospital Eligibility Worker performs financial counseling, screening and enrollment for medical coverage under the terms of various private and public health care and financial assistance programs, including Medi-Cal and Medicare to maximize hospital reimbursement and facilitate patient care.  Depending on the position location, duties may vary.   The essential functions include:

  • Interviews patients, their relatives and others to identify and determine patient eligibility for coverage of medical care under various Federal or State programs, private or other health care plans;
  • Counsels patients about eligibility, billing policies, reimbursement programs, qualification standards, procedures and payment options;
  • Investigates payor requirements by obtaining benefits information, notifies insurance plans of patients treatment needs;
  • Assists patients and their representatives to apply for Medi-Cal, California Children Services and other Federal, State and County reimbursement programs;
  • Assists in registering patients into the hospital;
  • Communicates accurate financial reimbursement information and eligibility verification to health care professionals to aid in treatment planning;
  • Enters patient data into hospital database and into computer programs to set up billing accounts for patients, file monthly reports, write correspondence, track production and update patient accounts;
  • Prepares, updates and maintains records related to patient eligibility information and health care payment received.  Determines patient eligibility for third party payment sources according to established policies and procedures, including private health insurance plans, victims of crime, worker’s compensation and lawsuit settlements;
  • Maintains resource materials regarding regulations and procedures, procedural memos and training material and keeps current with changes in laws, policies and procedures;
  • Prepares patient budget to determine eligibility for coverage of medical care; and
  • Regulates patient finances to maintain patient eligibility and entitlement to various benefits; facilitates burial arrangements and final disposition of patient estate

The Senior Hospital Eligibility Worker performs other related duties as required/assigned.

Minimum Qualifications

Experience:

Two (2) years of experience performing the duties of an Eligibility Worker in a hospital, medical clinic, Medi-Cal unit or a community-based health organization.  The work experience must include determining eligibility for various Federal, State and county programs that reimburse for medical care.

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

Note: 1 year of experience equals 2,000 hours

Special Condition(s): In addition to the listed minimum qualifications, some position(s) may require special conditions, including, bilingual fluency in a variety of languages depending upon the department's bilingual needs. Only those eligible candidates who pass the bilingual proficiency test will be considered for bilingual positions. Applicants must indicate on the application form the language(s) in which they claim proficiency.

Condition(s) of Employment: Must obtain Certified Enrollment Counselor Certification for Covered California and pass federal background check within 3 months of hire. 

  1. Certification: Eligibles appointed to the position who do not possess Certified Enrollment Counselor Certification for Covered California will be required to obtain the Certified Enrollment Counselor Certification within 3 months of hire.   Certified Enrollment Counselor Certification must be kept valid and be maintained throughout the length of employment.  Failure to demonstrate/show proof of possession of valid certification within 3 months of hire date and throughout length of employment may result in dismissal and/or termination of employment.   A photocopy of the valid Certified Enrollment Counselor Certification must be provided to the appropriate supervisor within the allotted time frame (within three (3) months of hire).
  2. Background Investigation Requirement: Eligibles appointed to the position must pass a Federal Background check within 3 months of hire and it must be maintained throughout the length of employment. Failure to pass federal background investigation within 3 months of hire date and maintain clearance throughout length of employment may result in dismissal and/or termination of employment.
  3. Standard Computer Keyboard Operation Requirement: During the probationary period, successful candidates will be required to demonstrate the ability to utilize a computer to perform assignments. Failure to perform this function may result in dismissal and/or termination from employment.

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.

  • Select the desired job announcement
  • Select “Apply” and read and acknowledge the information
  • Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
  • Follow instructions on the screen

Computers are available for the public (from 8:00 a.m. to 5:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor, San Francisco.

Applicants may be contacted by email about this announcement and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date.  Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter.  To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org).

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file.  Applicants should retain this confirmation email for their records.  Failure to receive this email means that the online application was not submitted or received.

All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline.  Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.

Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

Verification: Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at http://sfdhr.org/index.aspx?page=456

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

Verification of Experience: Verification of ALL experience needed to qualify, when requested, must be on the employer's letterhead indicating the name of the applicant, job title, dates of employment, hours per week worked, duties performed and must be signed by the supervisor and/or appropriate representative.

San Francisco City and County employees do not need to submit verification of their City work experience if, experience gained is from the class to which appointed. Credit for experience obtained outside of the employee's class will only be allowed if recorded in accordance with the provisions of Civil Service Commission Rules. City employees relying upon qualifying work experience gained outside the City and County of San Francisco must submit written verification as described above. 

If you have any questions regarding this recruitment or application process, please contact the exam analyst, Jennifer Jacobsen, by telephone at 415-554-2522, or by email at jennifer.jacobsen@sfdph.org

 

Selection Procedures

The supplemental questionnaire and application will be screened for relevant qualifying experience meeting the minimum qualifications.  Only those applicants who meet the minimum qualifications will be invited to participate in the written examination.

WRITTEN EXAMINATION:  Weight = 100%

Candidates who meet the minimum qualifications will be invited to take a written multiple-choice examination test designed to measure knowledge, skills, and/or abilities in job-related areas which may include but is not limited to the following:

  • Knowledge of Federal, State & County Health Programs;
  • Knowledge of the principles and  techniques of interviewing; 
  • Knowledge of basic arithmetic;
  • Ability to interpret rules, regulations and policies;
  • Decision-making ability;
  • Human relations/customer service ability;
  • Written communication;
  • Organizational and record keeping skills

The Multiple-Choice Test Preparation Manual, designed to provide tips and guidance on how to prepare and take multiple-choice examinations, can be obtained at: http://www.sfdhr.org/modules/showdocument.aspx?documentid=18426

A passing score must be achieved on the written multiple-choice examination in order to continue in the selection process. Candidates will be placed on the eligible list in rank order according to their written examination score.

This is a standardized examination and, therefore, test questions and test answers are not available for public inspection or review.

Language Proficiency Exam:  For positions that require bilingual proficiency in a foreign language, candidates deemed qualified who meet the special language condition must pass a departmentally approved language proficiency test. Only those eligible candidates who pass the bilingual proficiency test will be considered for the bilingual position.

Certification:
The certification rule for the eligible list resulting from this examination will be Rule of Ten (10) Scores.  Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Eligible List: http://sfdhr.org/information-about-hiring-process#eligiblelists

The eligible list resulting from this examination is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.

The duration of the eligible list resulting from this examination process will be of Twelve (12) Months, and may be extended with the approval of the Human Resources Director.

Conviction History

 As a finalist for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a finalist. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:

Candidates applying for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.

Candidates applying for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.

Having a conviction history does not automatically preclude you from a job with the City.

If you are selected as a finalist, the hiring department will contact you to schedule a fingerprinting appointment

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

Conclusion

Licensure/Certification:
Valid certification  (Certified Enrollment Counselor Certification for Covered California) is a condition of employment required within three (3) months of employment and must be kept current throughout length of employment. Failure to demonstrate/show proof of possession of required valid certification may result in dismissal and/or termination of employment. 

Note on Personal Protective Equipment (PPE): Some positions in the Department of Public Health will require the use of personal protective equipment (PPE), including but not limited to gloves, gowns, eye and face protection, and face-fitting respirators. The requirement for the use of PPE may come on short or no notice. Facial hair or any condition that interferes with a face-fitting respirator’s seal (i.e. comes between the sealing surfaces of the respirator and the wearer’s bare skin) is not permitted when face-fitting respirators are worn, including during initial or periodic respirator fit testing.

Employees who choose not to shave and do not have either American Disabilities Act (ADA) or Equal Employment Opportunity (EEO) Accommodations do not have the right to alternate work assignments or the option of using a loose-fitting Powered Air Purifying Respirator (PAPR) in place of a Face-Fitting Respirator.

Medical Examination/Drug Testing:
Prior to appointment, at the Department's expense, applicants may be required to take a tuberculosis (TB) screening test, a medical examination and/or drug test. 

Terms of Announcement and Appeal Rights Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations.  [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at www.jobaps.com/sf.] The terms of this announcement may be appealed under Civil Service Rule 110.4.  Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement.  Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at http://sfgov.org/civilservice/rules.

General Information concerning City and County of San Francisco Employment Policies and Procedures:
Important Employment Information for the City and County of San Francisco can be obtained at
http://www.sfdhr.org/index.aspx?page=20 or hard copy at 1 South Van Ness Avenue, 4th Floor.  

Requests: Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: http://www.sfdhr.org/index.aspx?page=20#applicantswithdisabilities

Information regarding requests for Veterans Preference can be found at: http://www.sfdhr.org/index.aspx?page=20#veteranspreference 

Seniority Credit in Promotional Exams:  Information regarding seniority credit can be found at: http://www.sfdhr.org/index.aspx?page=20#senioritycredit

Copies of Application Documents:
Applicants should keep copies of all documents submitted, as these will not be returned.

Right to Work:
All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.

Exam Type:  Combined Promotive and Entrance (CPE) 
Issued:  August 12, 2016
Amended and Reissued: March 16, 2017

Micki  Callahan
Human Resources Director
Department of Human Resources
Recruitment ID Number: CBT-2908-901699
DPH/ JJ / 415-554-2522

Benefits

All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

For more information about benefits, please click here.



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