Career Opportunity

Senior Hospital Eligibility Worker (2908 - 48th Supplement)

Recruitment: REF19341Q

Published: November 23, 2022

Accepting applications until: December 01, 2022

Apply using SmartRecruiters, the City and County of San Francisco's application portal Learn More

About:

• Application Opening – 11/23/2022 

• Application Deadline – 11/30/2022

• Salary: $83,512-$101,530 Annually

The City and County of San Francisco employs over 30,000 workers. With more than 60 departments, we can use your skills and abilities. When you work for the City, you choose purpose!

This selection process is being conducted in accordance with the 48th Supplement to Mayoral Proclamation Declaring the Existence of a Local Emergency Dated February 25, 2020 and temporary Civil Service Commission [CSC] Rule 111.17.

Equity, Diversity, and Inclusion

All employees are required to participate in the Department of Public Health's work in equity, diversity, and inclusion through:

·         Commitment to providing first-class care and service to all members of the DPH service population, with heightened sensitivity and awareness to racial, ethnic, and culturally diverse members of the DPH’s workforce and patient populations.

·         Desire and commitment to lead and participate in antiracism, racial justice, and equity work that impacts quality of patient care, and improvements in employee experiences; along with the commitment and fortitude to push and drive change in these areas.

·         Desire to work with, relate to, serve, and support a diverse workforce and patient population.

·         Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

Role description

Under general supervision, 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.

EXAMPLES OF IMPORTANT AND ESSENTIAL DUTIES

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

1. Explain programs, qualification standards, policy and procedure to patients; assist patients in completion of applications and forms when necessary; review and evaluate applications for completeness and accuracy; prepare patient budget to determine eligibility.

2. Conduct interviews with patients, their relatives and others in order to identify and determine patient eligibility for coverage of medical care under various Federal or State programs or under the provisions of private, fraternal, union or other health care plans; verify hospitalization insurance and arrange for billing of the appropriate agency or health care plan; continually reviews patient's case files to update vital statistics.

3. Obtain and provide medical and financial information with hospital staff, outside government agencies, and insurance providers; attend ward rounds with appropriate staff.

4. Determine patient eligibility for a third party payment source according to established policies and procedures including private health insurance plans, victims of crime, workers' compensation, and lawsuit settlements.

5. Initiate and obtain approval of extension of Medi-Cal coverage for emergency and elective admissions.

6. Prepare records related to patient eligibility information and health care payment received; update records; submit required reports.

7. Investigate statements and information received from applicant through the use of telephone or written verifications.

8. Review cases with supervisor in assessing the quality of payment source determination process and procedure.

9. Compose and prepare correspondence to patients, references, and State agencies; gather statistical data and prepare reports as required.

10. When assigned to a long term care facility, may regulate patient finances to maintain patient eligibility and entitlement to various benefits; may facilitate burial arrangements and final disposition of estate.

11. Refer non-payment cases to appropriate authority for recovery.

12. Answer questions and provide information to patient and the general public regarding assigned program area.

13. Assist in registering patients into the hospital; provide assistance to patients in completing applications; make referrals to Social Service agencies.

How to qualify

A minimum of one year as a Category 18 exempt appointee in Class 2908 by December 15, 2022. Must be a current exempt employee with the City and County of San Francisco with no break in service.

Underlying 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.

License and Certification:

Must obtain Certified Enrollment Counselor Certification for Covered California and pass federal background check within 3 months of hire.

What else should I know?

How to Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit @Careers.SF.Gov and begin the application process.

• Select the “I’m Interested” button and follow instructions on the screen

Applicants may be contacted by email about this recruitment 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 @sfdph.org @sfgov.org and @smartrecruiters.com).

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.

Selection Process

Qualified applicants will be ranked on an eligible list according to length of Cat 18 exempt City service and any other qualifying points such as promotive or Veteran’s Preference in accordance with CSC rules. Work history will be verified through City records which will be the final authority.

Eligible List/Score Report

A confidential eligible list of qualifying candidates will be created and used for certification purposes only. A score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection upon request once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this selection process 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 12 months.

For those candidates that do not have their qualifying 12 months at the time of eligible list posting, you will be placed under waiver on the eligible list and not available for appointment until you qualify. For example, if you were appointed to your Cat 18 position in November, 2021, you would be under waiver until November 2022.

Certification Rule

The certification rule for this selection process will be Rule of the List.

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. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.smartrecruiters.com/CityAndCountyOfSanFrancisco1/ .

The terms of this announcement may be appealed under CSC Rule 110.4. Appeals concerning the provisions of an examination announcement must be received by the Human Resources Director within five (5) business days from the issuance date. The Human Resources Director shall rule on all appeals and shall notify appellants in writing of the decision. This decision is subject to appeal to the Commission as provided elsewhere in these Rules.

DPH Health Critical Requirements and Information: Please review the following policies regarding DPH employment requirements that safeguard yourself and others.

• COVID-19 Policies
• Personal Protective Equipment (PPE)
• Medical Examination Prior to Hiring
• Electronic Health Record (EHR)
• Licensure/Certification/Registration
• Note on ICARE

Additional Information Regarding Employment with the City and County of San Francisco 

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. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.smartrecruiters.com/CityAndCountyOfSanFrancisco1/.

• Information About the Hiring Process
• Conviction History
• Employee Benefits Overview  
• Equal Employment Opportunity 
• Disaster Service Worker
• ADA Accommodation
• Right to Work
• Diversity Statement

HR Analyst Information

If you have any questions regarding this recruitment or application process, please contact Ileana.enriquez@sfgov.org.

Recruitment ID: CBT-2908-E10138

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.