Patient Registration Clerk CHC/108 | Will County Health Department

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Patient Registration Clerk CHC/108

Posted 10 months ago

Job Features

Job Category	Clerical
Job Title	Patient Registration Clerk (CHC 20)
Job Title Note	Community Health Center
Job Summary	This candidate will perform clerical duties with a high level of data entry with completing Patient Registration by providing information regarding registration and eligibility process; receiving, verifying, collecting fees and entering data. Candidate will work Tuesday through Thursday 10 am – 6pm, Friday 8am – 4pm and Saturday 7:30 am – 3:30pm.
Minimum Qualifications	High School diploma or equivalent. Two (2) years Patient Registration experience required. Proficient with Microsoft Word and Outlook. Health Department clerical testing required. REQUIREMENTS: Verification of U.S. citizenship or employment eligibility. Must possess a valid Illinois Driver’s License, minimum auto liability insurance. SPECIALREQUIREMENTS: Criminal Background check and Driving Background check as needed or required. DESIRED: Bilingual in Spanish
Salary Range	Grade 8 Hourly Wage ($13.45 - $21.50)
Apply To	Human Resources, Will County Health Department 501 Ella Ave. Joliet, IL 60433 FAX (815) 727-8526
Apply by	NOT LATER THAN 10/12/2020 DATE POSTED: 09/30/2020
Disclaimer	I certify that answers/information given herein are true, complete and accurate. I understand that any omission or misrepresentation of information may be sufficient cause for rejection of this application or, if employment has commenced, grounds for immediate dismissal. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby authorize any schools that I have attended, current and previous employers, and organizations named in this application to provide the County of Will with any information that may be requested to make an employment decision. I hereby specifically waive written notice from any and all former employers regarding their disclosure to the County of Will of any information including disciplinary action. I understand that if I am offered employment, it is contingent upon satisfactorily passing a physical examination and/or drug test prior to placement in the position for which I have applied when such tests are required. I specifically authorize law enforcement agencies to release any records of prior criminal convictions and/or pending felony charges it may have or may obtain from other sources to the County of Will. I hereby release the County of Will and other agencies from any and all actions and claims that may be sustained by me from the release and use of the information. I understand and agree that in the absence of an express written agreement to the contrary executed by the employer, any employment I accept shall be for an indefinite term and shall be terminable at any time, with or without notice or cause, either by me or at the will and sole discretion of the employer. I have read or had read to me and understand the above statement. For purposes of this electronic form, my typed name in the signature box represents my signature. APPLICATIONS WITHOUT SIGNATURES WILL NOT BE CONSIDERED FOR EMPLOYMENT.

Apply Online

PERSONAL INFORMATION

First Name*

Middle Name

Last Name*

Current Address*

1. City & State*

Email Address*

A valid email address is required.

Telephone*

A valid phone number is required.

Work Number*

A valid phone number is required.

Call in Confidence*

Yes No

Are you 18 years of age or older?*

Yes No

Are you authorized to work in the United States?*

Yes No

US Armed Forces Service?*

Yes No

Duties

Active Duty Period From:

Active Duty Period To:

Branch

Reserves Period From:

Reserves Period To:

Reserves Period Branch:

If the job you are applying for requires driving a vehicle, do you possess a valid Illinois driver's license?*

Yes No

If yes, indicate Driver's License Number:

Is your license currently or has it ever been revoked, suspended or restricted?**

Yes No

Please explain:

EMPLOYMENT DESIRED

Position Apply for (1)*

1. Dept:*

Position Apply for (2)

2. Dept:

What kind of work schedule are you available for?*

Full Time Part Time Temporary On-Call Seasonal

Shift:

Date you can start?*

Salary Desired:*

Are you available to work weekends when required by the position you have applied for?*

Yes No

Have you ever been employed with Will County?*

Yes No

If Yes, From:

To:

Dept. :

Name if different than above:

List any relatives currently employed within the department in which you are applying:

EDUCATION

1. Name of High School attended*

1. City & State*

1. Did you graduate*

Yes No GED

1. Other Education*

2. Name of High School attended

2. City & State

2. Did you graduate

Yes No GED

2. Other Education

3. Name of High School attended

3. City & State

3. Did you graduate

Yes No GED

3. Other Education

Please list any skills, abilities, hobbies, training, etc. which you feel may be an asset. (Example: business machines, volunteer work, additional languages, word processing, clerical.):*

Please list any license, registration, certificates, etc. which are related to the job you are applying for:*

Have you ever had a license, registration, certificate, etc. related to the position you are applying for suspended, revoked, placed on probation or lapsed for any reason?*

Yes No

If yes, please explain

EMPLOYMENT HISTORY - 1

1. Name and Address of Employer*

1. Dates of Employment To:*

1.Dates of Employment From:

1. Work Type on Start*

Hr. Wk. Yr.

1. Work Type on Leaving*

Hr. Wk. Yr.

1. List Job Responsiblities:*

1. Position Held*

Full Time Part Time

1. Job Title*

1. May we contact this employer for a reference prior to a job offer?*

Yes No

1. Supervisor's Name & Title:*

1. Work Telephone:*

A valid phone number is required.

1. Reason for Leaving:*

Voluntary Involuntary

1. If Involuntary, Please Explain:*

Employment History - 2

2. Name and Address of Employer

2.Dates of Employment From:

2. Dates of Employment To:

2. Work Type on Start

HR Wk YR

2. Work Type on Leaving

HR Wk YR

2. List Job Responsiblities:

2. Position Held

Full Time Part Time

2. Job Title

2. May be we contact this employer for a reference prior to a job offer?

Yes No

2. Supervisor's Name & Title:

2. Work Telephone:

A valid phone number is required.

2. Reason for Leaving:

Voluntary Involuntary

2. If Involuntary, Please Explain:

Employment History - 3

3. Name and Address of Employer

3.Dates of Employment From:

3. Dates of Employment To:

3. Work Type on Start

HR Wk YR

3. Work Type on Leaving

HR Wk YR

3. List Job Responsiblities:

3. Position Held

Full Time Part Time

3. Job Title

3. May be we contact this employer for a reference prior to a job offer?

Yes No

3. Supervisor's Name & Title:

3. Work Telephone:

A valid phone number is required.

3. Reason for Leaving:

Voluntary Involuntary

3. If Involuntary, Please Explain:

PROFESSIONAL REFERENCES - 1

1.Full Name*

1.Business or Home Address*

1.Occupation*

1.Telephone Number*

A valid phone number is required.

PROFESSIONAL REFERENCES - 2

2.Full Name

2.Business or Home Address

2.Occupation

2.Telephone Number

A valid phone number is required.

PROFESSIONAL REFERENCES - 3

3.Full Name

3.Business or Home Address

3.Occupation

3.Telephone Number

A valid phone number is required.

Applications without Signatures will not be considered for employment

Applicant Signature (Type your Name)*

Date:*

Verification of Signature*

I have read or had read to me and understand the above statement. For purposes of this electronic form my typed name in the signature box represents my signature. APPLICATIONS WITHOUT SIGNATURES WILL NOT BE CONSIDERED FOR EMPLOYMENT. Thank you for considering the County of Will as a potential employer. Applications are only accepted for current job openings.

Attach Resume*

Certification

I certify that answers/information given herein are true, complete and accurate. I understand that any omission or misrepresentation of information may be sufficient cause for rejection of this application or, if employment has commenced, grounds for immediate dismissal. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby authorize any schools that I have attended, current and previous employers, and organizations named in this application to provide the County of Will with any information that may be requested to make an employment decision. I hereby specifically waive written notice from any and all former employers regarding their disclosure to the County of Will of any information including disciplinary action. I understand that if I am offered employment, it is contingent upon satisfactorily passing a physical examination and/or drug test prior to placement in the position for which I have applied when such tests are required. I specifically authorize law enforcement agencies to release any records of prior criminal convictions and/or pending felony charges it may have or may obtain from other sources to the County of Will. I hereby release the County of Will and other agencies from any and all actions and claims that may be sustained by me from the release and use of the information. I understand and agree that in the absence of an express written agreement to the contrary executed by the employer, any employment I accept shall be for an indefinite term and shall be terminable at any time, with or without notice or cause, either by me or at the will and sole discretion of the employer. I have read or had read to me and understand the above statement. For purposes of this electronic form, my typed name in the signature box represents my signature. APPLICATIONS WITHOUT SIGNATURES WILL NOT BE CONSIDERED FOR EMPLOYMENT.

Verification of Signature

I have read or had read to me and understand the above statement. For purposes of this electronic form, my typed name in the signature box represents my signature. APPLICATIONS WITHOUT SIGNATURES WILL NOT BE CONSIDERED FOR EMPLOYMENT. Thank you for considering the County of Will as a potential employer. Applications are only accepted for current job openings.*

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815-727-8480

Community Health Center
815-727-8670

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