Hospital Eligibility Worker (2903) - DPH - H00114

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 sta

• Application Opening: June 28, 2024

• Application Deadline: Continuous at least through July 14, 2024, and may close anytime thereafter

• Salary: 77,584 to $94,250 annually

• Appointment Type: Permanent Civil Service

• Recruitment ID: CBT-2903-H00114

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 multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. 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. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.

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.

Role description

Under general supervision, performs a variety of 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.

Essential functions of the 2903 Hospital Eligibility Worker include but are not limited to:

• Interviews patients, their relatives and others to obtain financial and demographic information and determines eligibility for coverage of medical care under various Federal, State or County programs or under the provisions of private or public health care plans; verifies insurance and arrange for billing of the appropriate agency or health care plan.

• Admits and registers patients for clinic and hospital services; initiates referrals for incoming skilled or long term care patients.

• Coordinates transfers of patients between medical facilities; informs patients of procedures and necessary reports.

• Explains eligibility programs, qualification standards, policy and procedure to patients; assists patients in completion of applications, forms and reports when necessary; reviews and evaluates applications for completeness and accuracy; prepares patient budget to determine eligibility.

• Prepares records related to patient eligibility information and financial assistance received; updates records; submits required reports.

• Investigates statements and information received from applicant through the use of telephone or written verifications.

• Investigates and resolves patient questions and concerns regarding clinic and hospital bills.

• Reviews cases with supervisor in assessing the quality of the payment source determination process and procedure.

• Composes and prepares correspondence to patients, references, and State agencies; gathers statistical data and prepares reports as required.

• Answers questions and provides information to patients and the general public regarding assigned program area.

2903 Hospital Eligibility Worker performs related duties as required.

Shift(s): Varied depending on position location. Days, evenings, nights, overnights, weekends, and/or holiday shifts may be required. 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. Rotation between functions and/or departments may be required.

How to qualify

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

Minimum Qualifications (REQUIRED):

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 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 the 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)

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.

One year of full-time employment is equivalent to 2,000 hours of qualifying work experience (one year if performed full-time at 40 hours per week).

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.

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 Supplemental Questionnaire (MQSQ):Candidates will be required to complete an MQSQ as part of the employment application. The MQSQ 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/or abilities in job related areas which may include but not be limited to the following: Knowledge of: Basic interviewing and investigative skills and techniques; principles and practices of caseload management; Federal, State, local laws, rules, regulations, policies, and procedures regarding assigned program area; services offered by related agencies; departmental programs, policies, procedures and terminology; office procedures, methods and computer equipment; basic mathematics. Ability to: Interview applicants for public assistance and obtain appropriate information, often in different languages, or dialects of English; accurately gather, record and evaluate data necessary for the determination of eligibility; interpret and apply Federal, State and local policies, procedures, laws and regulations; maintain accurate records and meet program deadlines; operate a computer terminal and standard office machines; make accurate mathematical computations; type and enter data at a speed necessary for successful job performance; effectively communicate with and elicit information from patients in difficult situations; communicate clearly and concisely, both orally and in writing; establish and maintain cooperative working relationships with those contacted in the course of work.

Candidates must achieve a passing score on the multiple choice 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.

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

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

For tips and guidance on how to prepare and take multiple choice examinations, you can view the Multiple-Choice Test Preparation Manual

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?

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

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 12 months and may be extended with the approval of the Human Resources Director.

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.

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.

• COVID-19 Policies

• Personal Protective Equipment (PPE)

• Medical Examination Prior to Hiring

• Electronic Health Record (EHR)

• Licensure/Certification/Registration

• Note on ICARE

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 Workers

• Reasonable Accommodation

• Right to Work

• Copies of Application Documents

• Diversity Statement

• Veterans Preference

If you have any questions regarding this recruitment or application process, please contact the analyst, Hanz Pagao (she/her/hers) 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.