Senior Hospital Eligibility Worker (2908) - DPH - H00073

Career Opportunity

Senior Hospital Eligibility Worker (2908) - DPH - H00073

Recruitment: REF29577Q

Published: July 21, 2023

Accepting applications until: August 04, 2023

Contact:

Hanz Pagao - hanz.pagao@sfdph.org

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

Department: Public Health
Job class: 2908-Senior Hospital Eligibility Worker
Salary range: $90,142.00 - $109,616.00
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:

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.

Application Opening: Friday, July 21, 2023
Application Deadline: Interested applicants are encouraged to apply immediately as this job ad may close at any time, but not sooner than Friday, August 4, 2023
Salary: $85,592 - $104,078 annually
Appointment Type: Permanent Civil Service
Recruitment ID: CBT-2908-H00073

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 vacancies in this class.

How to Apply: Applications for 2908 Senior Hospital Eligibility Worker are only accepted through an online process.

1) Select “Apply Now” and follow the instructions on the screen to submit your application.
Important note: Please be clear in your application about 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.

2) ⚠️Required after Applying⚠️
Complete the Minimum Qualifications Supplemental Questionnaire (MQSQ) ❗❗
All applicants must complete the Supplemental 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.

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 healthcare 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 healthcare 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 healthcare 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.

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.

Minimum qualifications (required):

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.

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

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.

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.

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 the rejection of the application and/or appointment in this class.

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.

What else should I know?

Minimum Qualifications Supplemental Questionnaire (MQSQ) (Weight: Qualifying): Candidates are required to complete a Supplemental Questionnaire as part of the online employment application. This 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 are 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/score report in rank order according to their written examination score.

This is a standardized examination; 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.

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

Eligible List/Score Report: Once you pass the exam, you will be placed on an eligible list and given a score and a rank. (More information here.) The duration of the eligible list resulting from this examination process will be 12 months and may be extended with the approval of the Human Resources Director.

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.

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 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 if you include a mobile number in your application. The first message will ask you to opt in to text messaging.

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.