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Career Opportunity

Senior Hospital Eligibility Worker (2908)

Recruitment: REF9819J

Published: May 16, 2022

Contact:

Hanz Pagao - hanz.pagao@sfdph.org

Apply using SmartRecruiters, the City and County of San Francisco's Application Portal Learn More

Department: Public Health
Job Class: 2908-Senior Hospital Eligibility Worker
Role Type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam Type: Class Based Test
Rule: Rule of 3 What does this mean?
List Type: Combined Promotive and Entrance
 

About:

This is a Class-Based Test administered in accordance with Civil Service Rule 111.
The eligible list resulting from this Class Based Test (CBT) announcement will be used to fill current and future vacancies in this class.

How to Apply:
Applications for SENIOR HOSPITAL ELIGIBILITY WORKER (2908) are only accepted through an online process. 

 1. Select "I'm Interested” and follow instructions on the screen to submit your application.
Important note: Please be clear in your application exactly how you meet the minimum qualifications listed below.
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.

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.

2. ACTION REQUIRED: After completing your application, please complete the questionnaire by following this link: SENIOR HOSPITAL ELIGIBILITY WORKER (2908) MINIMUM QUALIFICATION SUPPLEMENTAL QUESTIONNAIRENote: Please complete the questionnaire ONLY after you submitted your application.

Specific information regarding this examination process are listed below.

  • Application Opening – April 13, 2022
  • Application Deadline – May 17, 2022
  • Compensation: $79,352.00 - $96,460.00 Yearly
  • Appointment Type: Permanent Civil Service
  • Certification: Rule of Three
  • Duration of the List: Twelve (12) Months
  • Recruitment ID: CBT-2908-H00010

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 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.

Role Description

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:

  1. 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;
  2. Counsels patients about eligibility, billing policies, reimbursement programs, qualification standards, procedures and payment options;
  3. Investigates payor requirements by obtaining benefits information, notifies insurance plans of patients treatment needs;
  4. Assists patients and their representatives to apply for Medi-Cal, California Children Services and other Federal, State and County reimbursement programs;
  5. Assists in registering patients into the hospital;
  6. Communicates accurate financial reimbursement information and eligibility verification to health care professionals to aid in treatment planning;
  7. 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;
  8. 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;
  9. Maintains resource materials regarding regulations and procedures, procedural memos and training material and keeps current with changes in laws, policies and procedures;
  10. Prepares patient budget to determine eligibility for coverage of medical care; and
  11. 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.

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

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

  • 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.

Please be clear in your application exactly how you meet the minimum qualifications listed above. 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.

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

Special Condition - In addition to the listed minimum qualifications, some positions may require special conditions, including but not limited to 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:

  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.

Verification: 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 rejection of application and/or appointment in this class. 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.

 

Selection Procedures
Minimum Qualification Supplemental Questionnaire (Weight: Qualifying): Candidates are required to complete a Supplemental Questionnaire as part of the online employment application. After completing your application, please complete the questionnaire by following this link: SENIOR HOSPITAL ELIGIBILITY WORKER (2908) MINIMUM QUALIFICATION SUPPLEMENTAL QUESTIONNAIREThis Minimum Qualification Supplemental Questionnaire is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position. Applicants must also complete the official application. It is essential that applicants provide complete information in identifying their education, experience and training. The Minimum Qualification Supplemental Questionnaire will be used to evaluate if the applicant possesses the required minimum qualifications.

Written Examination (Weight: 100%): Applicants deemed eligible will be invited to take a written multiple-choice examination 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; and/or Organizational and record keeping skills

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.

Date(s) of Examination: Those applicants meeting the Minimum Qualifications will be notified of the exact date, time and place to report to the examination.

Eligible List/Score Report: A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only. An examination 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 civil service examination 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.

Upon approval of the Human Resource Director (see Civil Service Rule 111A.26.5), the eligible list resulting from this announcement may be used by other departments that also use this classification or a similar classification. To find other Departments which use this classification, please see http://www.sfdhr.org/Modules/ShowDocument.aspx?documentID=21246.

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

What else should I know?

Terms of Announcement: 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 will be posted at the top of the job ad.] 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.

Statement on Equity, Diversity, and Inclusion: At the City and County of San Francisco, we share a commitment to a diverse, inclusive and equitable community. Each member of our organization is responsible and accountable for what they say and do to make San Francisco an inclusive and equitable place to live and work by employing fair and just practices to and for all.

Electronic Health Record (EHR): The Department of Public Health (DPH) is implementing a unified Electronic Health Record (EHR) system and DPH employees must demonstrate competency in the use of the system that is appropriate for their classification as a condition of employment.  

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., weakens the seal between 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: Prior to appointment, at the Department’s expense, applicants may be required to take a tuberculosis (TB) screening test, medical examination, and/or drug test. Medical Examination Information.

Note on ICARE: Willingness to uphold/abide by ZSFG’s ICARE (I-Introduce, C-Connect, A-Ask, R-Respond, E-Exit) philosophy for employee and patient interactions.

DHR public access: In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice. As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Exam Analyst listed at this job ad.

A COVID-19 Vaccine Booster is required for all San Francisco Department of Public Health employees as a Condition of Employment effective March 1, 2022.

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

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

Recruitment Analyst Information: If you have any questions regarding this recruitment or application process, please contact Hanz Pagao at hanz.pagao@sfdph.org. Please respond to the application confirmation email if you already applied.

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.