Career Opportunity

Hospital Eligibility Worker Supervisor (2909)

Recruitment: REF10394Z

Published: May 27, 2022

Accepting applications until: May 27, 2022

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

About:

*This job announcement has been amended to reflect the new application deadline. The recruitment is now closing on May 27, 2022. You are encouraged to file an application as soon as possible. If you have already applied to this specific recruitment, you do not need to apply again. *

How to Apply:
Applications for Hospital Eligibility Worker Supervisor (2909) are only accepted through an online process. 

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.

Specific information regarding this examination process are listed below.

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.

• Application Opening – April 29, 2022
• Application Deadline – May 27, 2022
• Compensation: $97,006.00 - $117,962.00 yearly
• Appointment Type: Permanent Civil Service
• Certification: Rule of Three
• Duration of the List: Six (6) months
• Recruitment ID: CBT-2909-H00011

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 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:

1. 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.
2. Participates in the selection of unit staff; provides or coordinates staff training; works with employees to correct deficiencies; implements discipline procedures as required.
3. Recommends and assists in the implementation of goals and objectives; establishes schedules and methods for providing services; implements policies and procedures.
4. Evaluates operations and activities of assigned responsibilities; recommends improvements and modifications; prepares statistical summaries and reports on staff, operations and activities.
5. Assists in the preparation and monitoring of the budget.
6. Answers questions and provides information to the public; investigates complaints and recommends corrective action as necessary to resolve complaints.
7. 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.
8. Maintains on-going effective communication with various clinical staff including radiology staff, nursing staff and physicians.
9. Reviews and interprets administrative letters, memos and changes in program regulations; evaluates 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.
10. 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 patient budget to determine eligibility.
11. Prepares records related to patient eligibility information and payment source received; updates records; submits required reports.
12. Investigates and verifies statements and information received from patient and families.
13. Acts as liaison with public and private medical care plans, outside institutions and community organizations.
14. Oversees coordination of transfers of patients between various hospitals or medical facilities; ensures patients are informed of transfer procedures.
15. Oversees assignment of beds for patients being admitted; monitor bed availability; maintains a safe and clean work environment for employees.
16. May oversee workers assigned to a long term care facility; supervises the regulating of patient finances, facilities of burial arrangements, and disposition of estate.
17. Oversees the maintenance and operation of computer and manually operated data equipment; monitors adequacy of office supplies and forms; order 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

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

• 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 3 months of hire.

One year of full-time employment is equivalent to 2000 hours. (2000 hours of qualifying work experience is based on a 40 hours 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 hire date and maintain validity throughout 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 hire date and throughout 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 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. Information submitted after the filing deadline will not be considered. Please upload certificates, transcripts, employment verifications, performance appraisals, etc. that you feel will help demonstrate that you meet the minimum qualifications.

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. 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%): Candidates who meet the minimum qualifications will be invited to take a 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.

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.

The Multiple-Choice Test Preparation Manual, designed to provide tips and guidance on how to prepare and take multiple-choice examinations, can be obtained at: http://www.sfdhr.org/modules/showdocument.aspx?documentid=18426

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.

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

• Information About The Hiring Process
• Conviction History
• Employee Benefits Overview  
• Equal Employment Opportunity 
• Disaster Service Worker
• ADA Accommodation
• Veterans Preference
• Right to Work
• Copies of Application Documents
• Diversity Statement

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.