Hospital Eligibility Worker Supervisor (2909) - DPH - H00084

Career Opportunity

Hospital Eligibility Worker Supervisor (2909) - DPH - H00084

Recruitment: REF35286V

Published: January 10, 2024

Contact:

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

Department: Public Health
Job class: 2909-Hospital Eligibility Worker Supervisor
Salary range: $110,266.00 - $134,030.00
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Class Based Test
Rule: Rule of 10
List type: Combined Promotive and Entrance

About:

*This announcement has been amended to reflect the Final closing deadline of 1/11/2024. Applicants who already applied do not need to reapply and will be included in the applicant pool.

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.

1️⃣ Please START with the required questionnaire ✅ https://forms.office.com/g/5tTT5tpVJc
2️⃣ Then, submit an online application.

Application Opening – Friday, December 1, 2023
Application Deadline – Interested applicants are encouraged to apply immediately as this job ad may close at any time but no sooner than Friday, December 15, 2023.
- Final closing deadline of January 11, 2024, 11:59 PM
Compensation: $107,016 - $130,104 annually
Appointment Type: Permanent Civil Service
Recruitment ID:  CBT-2909-H00084

This is a Citywide Examination under Class-Based Testing (CBT). The eligible list resulting from this announcement will be used to fill vacancies in this class.

Positions may be located throughout the San Francisco Department of Public Health (DPH), 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 that 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 that 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 that 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.

Role description

Under direction, the Hospital Eligibility Worker Supervisor supervises, assigns, reviews and participates in the work of a unit responsible for a variety of hospital registration, admitting and discharge functions with the objective of determining eligibility of patients for assistance under the terms of various public and private health care and financial assistance programs including Medi-Cal and Medicare to maximize hospital reimbursement and facilitate patient care; and performs a variety of technical tasks relative to assigned area of responsibility.

ESSENTIAL DUTIES include:

Plans, prioritizes, assigns, supervises, and reviews the work of a unit responsible for providing the review and determination of eligibility of patients for medical treatment under the terms of various public and private medical and financial assistance programs including Medi-Cal, Medicare, and other third-party payers.
Participates in the selection of unit staff; provides or coordinates staff training; works with employees to correct deficiencies; implements discipline procedures as required.
Recommends and assists in the implementation of goals and objectives; establishes schedules and methods for providing services; implements policies and procedures.
Evaluates operations and activities of assigned responsibilities; recommends improvements and modifications; prepares statistical summaries and reports on staff, operations, and activities.
Assists in the preparation and monitoring of the budget.
Answers questions and provides information to the public; investigates complaints and recommends corrective action as necessary to resolve complaints.
Reviews and evaluates staff work in determining financial eligibility for a variety of payment sources; verifies eligibility and financial assistance levels according to established policies and procedures; reviews completed cases with respect to eligibility factors and billing recommendations.
Maintains ongoing effective communication with various clinical staff including radiology staff, nursing staff, and physicians.
Reviews and interprets administrative letters, memos, and changes in program regulations; evaluates the impact of changes on internal procedures and hospital reimbursement for patient care; updates staff on changes in regulations and policy or procedures; maintains providers’ eligibility and procedures manual regulations and policy or procedures; maintains providers’ eligibility and procedures manual.
Determines eligibility, recommends, and explains third-party payment source programs, qualification standards, policy, and procedure to patients; assists patients in completion of applications and forms when necessary; reviews and evaluates Medi-Cal applications for completeness and accuracy; when necessary, prepares the patient budget to determine eligibility.
Prepares records related to patient eligibility information and payment source received; updates records; submits required reports.
Investigates and verifies statements and information received from patients and families.
Acts as liaison with public and private medical care plans, outside institutions, and community organizations.
Oversees coordination of transfers of patients between various hospitals or medical facilities; ensures patients are informed of transfer procedures.
Oversees assignment of beds for patients being admitted; monitors bed availability; maintains a safe and clean work environment for employees.
May oversee workers assigned to a long-term care facility; supervises the regulating of patient finances, facilities of burial arrangements, and disposition of estate.
Oversees the maintenance and operation of computer and manually operated data equipment; monitors the adequacy of office supplies and forms; orders supplies and forms as required; prepares biweekly master payroll roster.

The Hospital Eligibility Worker Supervisor performs related duties as required.

Shift(s): Variable depending on position location. Days, evenings, nights, weekends, and/or holiday shifts may be required. Hospitals are open twenty-four (24) hours, seven (7) days per week

How to qualify

MINIMUM QUALIFICATIONS:

EXPERIENCE: Two (2) years of verifiable work experience in a hospital determining the eligibility for Medi-Cal, Medi-Care, or other sources of hospital reimbursement. This work must have been performed within the last five (5) years and must be equivalent to the work performed by a class 2908 Hospital Eligibility Worker.
LICENSE AND CERTIFICATION: Must obtain Certified Enrollment Counselor Certification for Covered California and pass federal background check within three (3) months of hire.

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

One year of full-time employment is equivalent to 2000 hours. (2000 hours of qualifying work experience is based on a 40-hour work week.) Any overtime hours that you work above forty (40) hours per week are not included in the calculation to determine full-time employment.

Condition of Employment: Must obtain Certified Enrollment Counselor Certification for Covered California and pass federal background check within 3 months of hire. Possession of a Certified Enrollment Counselor Certification for Covered California is required as a provision to employment for ALL positions. Eligibles who do not possess such a certification may participate in this examination process and be appointed to a position(s) but will be required to obtain the certificate within three (3) months of the hire date and maintain validity throughout the length of employment. A photocopy of the valid certification must be provided to the appropriate supervisor of the appointment within the allotted time frame. Valid certification must be kept current throughout the length of employment. Failure to demonstrate/show proof of possession of valid certification within three (3) months of the hire date and throughout the length of employment may result in dismissal and/or termination of employment.

Special Condition - Bilingual Proficiency: Some positions may require 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.

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Only the information entered in your application will be considered when determining whether you meet minimum qualifications. Resumes will not be accepted in lieu of a completed City and County of San Francisco application. Applications that do not appear to meet the minimum qualifications will not move forward in the recruitment process. Please upload certificates, transcripts, employment verifications, performance appraisals, etc. that you feel will help demonstrate that you meet the minimum qualifications.

Applicants may be required to submit verification of qualifying education and experience  at any point during the recruitment and selection process. Failure to provide the required verification when requested may result in the rejection of the application and/or appointment in this class. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. 

Selection Procedures

After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Minimum Qualification Questionnaire (Weight: Qualifying): Along with this application, applicants must complete a questionnaire (linked above), which is designed to compare an applicant's experience with the Minimum Qualifications of this position.

In-person Written Examination (Weight 100%): Candidates who meet the minimum qualifications will be invited to take an in-person written multiple choice test designed to measure knowledge, skills, and abilities in job-related areas which may include but not be limited to the following:

Knowledge of hospital reimbursement programs; knowledge of Hospital policies and regulations; ability to supervise; analysis and problem solving; Planning, organization, and prioritization; Interpersonal relations; Oral communication; Written communication; and computer operation.

Candidates must achieve a passing score on the written exam in order to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.

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

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

What else should I know?

Certification: The certification rule for the eligible list resulting from this examination will be the Rule of Ten Scores.

Eligible List/Score Report: Once you pass the exam, you will be placed on an eligible list and given a score and a rank. For more information, visit https://careers.sf.gov/knowledge/process/

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

To find Departments that use this classification, please click here.

Language Proficiency Exam: For positions requiring bilingual fluency, candidates deemed qualified who meet the special language condition, must pass a department-approved language proficiency exam prior to appointment. Only those eligible candidates who pass the bilingual proficiency test will be considered for the bilingual position. Applicants must indicate on the application form the language(s) in which they claim proficiency.

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. 

Candidates must answer the answer the Required Questionnaire as part of the online application process. Responses to items on the MQSQ must be supported by the information on the application to receive appropriate credit.
Submit an application by selecting the “Apply Now” button and follow instructions on the screen.

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. Applicants must ensure that email from CCSF is not blocked on their computer by a spam filter.

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 

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.

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 https://careers.sf.gov/. 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.

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

Additional information regarding Employment with the City and County of San Francisco:

If you have any questions regarding this recruitment or application process, please contact the analyst, Hanz Pagao at hanz.pagao@sfdph.org or 628-271-6839.

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

All of your information will be kept confidential according to EEO guidelines.

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.