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Career Opportunity

Hospital Eligibility Worker (2903) - Exempt

Recruitment: REF38807G

Published: March 06, 2024

Contact:

Hanz Pagao - hanz.pagao@sfdph.org

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

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Department: Public Health
Job class: 2903-Hospital Eligibility Worker
Salary range: $78,754.00 - $95,654.00
Role type: Temporary Exempt What does this mean?
Hours: Full-time
 

About:

The San Francisco 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. 

  • Application Opening –  March 6, 2024
  • Application Deadline – March 13, 2024, by 11:59 PM PST
  • Salary: $36.7500 - $44.6375 hourly
  • Appointment Type:  Temporary Exempt - Exempt positions are considered "at will" and are excluded by the Charter from the competitive Civil Service examination process and shall serve at the discretion of the Appointing Officer. Some positions are limited to 1,040 work hours in a year. 

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

Laguna Honda Hospital and Rehabilitation Center is looking for an As-Needed candidate with experience conducting eligibility, registration, admissions, transfers, TAR submissions (using EPIC a plus), and referral intake in a SNF/Acute hospital, Health at Home, and Emergency setting.  The applicant pool resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH.

Role description

Under general supervision, the Hospital Eligibility Worker performs various technical duties in the screening, determination of patient eligibility, and enrollment for medical coverage under the terms of various private and public health care and financial assistance programs.

The essential job functions include the following:

  • Reviews and manages referrals
  • Acts as a liaison
  • Maintains referral records and assigns patients to providers
  • Schedules patients and collects insurance information
  • Secures and evaluates outside medical records
  • Prioritizes patient referrals based on the service requested
  • Communicates with patients, physicians, and hospital staff
  • Obtains and documents insurance authorizations
  • Prioritizes registration and maintains reception area, assists patients with outpatient check-in
  • Assumes front-end office responsibilities, which include answering in-coming referral inquiry calls, responding to patient calls, and documenting information
  • Performs EPIC Transfer center-specific functions, schedules outpatient appointments received, updates records submits required reports
  • Identifies, assists, enrolls, and applies clients for entitlement programs and updates patient information for families.
  • Assists patients in interpreting clinic bills, consulting with the billing office on the patient's behalf, and making direct referrals to the billing office when needed
  • Composes and prepares correspondence to patients, references, and State agencies
  • Gathers statistical data and prepare reports as required
  • Answer questions and provide information to patients and the general public regarding the assigned program area
  • Refers incoming callers and patients to appropriate case management and nursing staff

The 2903 Hospital Eligibility Worker performs related duties as assigned/required.

Shifts: M-F (varied As-Needed), weekends, and/or holiday shifts may be required, depending on position. The hospitals operate on a 24-hour, 7 day per week basis and some Department of Public Health centers/clinics are open evenings, nights, weekends, and/or holidays. 

How to qualify

Minimum Qualifications:

1. Two (2) years of direct public contact clerical work experience which must have included ALL of the following:

  • use of computer applications to input, retrieve, and analyze information;
  • working with a diverse client population;
  • performing responsibilities involving interviewing to acquire detailed personal or confidential information;
  • interpreting and applying rules, regulations, and policies;
  • creating and processing documents related to the financial or personal histories of clients; and
  • assisting clients with the completion of forms or correspondence;

                OR

2. One (1) year of experience determining eligibility for health and/or social services programs, loans, financial assistance, unemployment, or veterans benefits

                OR

3. Sixty (60) semester units or ninety (90) quarter units from an accredited college or university. (Please specify in your application how many units you have completed and/or if you have completed your degree)

Substitution: Thirty (30) semester units or forty-five (45) quarter units from an accredited college or university may substitute for one (1) year of work experience under qualification pattern number one (1) above. (Please specify in your application how many units you have completed and/or if you have completed your degree)

One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine full-time employment.

DESIRABLE QUALIFICATIONS: 

  • direct public contact clerical work experience
  • Hospital transfer eligibility experience
  • Knowledge of insurance authorizations

Important Note: Please make sure it is absolutely clear in your application exactly how 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. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. 

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.  

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. 

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.