Patient Registration Clerk - FHS/111

WILL COUNTY HEALTH DEPARTMENT & COMMUNITY HEALTH CENTER

Job Posted: 9/12/23

Division
Family Health Services, Clerical

Job Summary
The candidate will perform clerical duties with a high level of data entry with completing Patient Registration by providing information regarding the registration and eligibility process; receiving, verifying, and entering data. Schedule calls for Monday, Tuesday, Thursday, and Friday 8:30 am-4:30 pm and Wednesday 10:30 am-6:30 pm.

Minimum Qualifications

MINIMUM QUALIFICATIONS

High School diploma or equivalent. One (1) year of Patient Registration experience. Passing the Health Department’s clerical test.

REQUIREMENTS

Must possess a valid Illinois Driver’s License with minimum auto liability insurance. Verification of employment eligibility or U.S. citizenship.

DESIRED

Bilingual in Spanish.

Salary Range

Grade 8 Hourly Wages ($15.92 – $23.64)

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.

Job Application

PERSONAL INFORMATION

Name(Required)

First Middle Last

Current Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Telephone(Required)

Work Phone(Required)

Call in Confidence(Required)

Yes

Are you 18 years of age or older?(Required)

Yes

Are you authorized to work in the United States?(Required)

Yes

US Armed Forces Service?(Required)

Yes

Duties

Active Duty Period From:

Active Duty Period To:

Branch of Military

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?*(Required)

Yes

If yes, indicate Driver's License Number:

Is your license currently or has it ever been revoked, suspended or restricted?**(Required)

Yes

Please explain:

EMPLOYMENT DESIRED

Position Apply for (1)(Required)

Dept.(Required)

What kind of work schedule are you available for?*(Required)

Full Time

Part Time

Temporary

On-Call

Seasonal

Shift:

Date you can start?(Required)

Salary Desired(Required)

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

Yes

Have you ever been employed with Will County?*(Required)

Yes

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(Required)

1. High School City and State(Required)

City State

1. Did You Graduate?(Required)

Yes

GED

1. Other Education(Required)

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:(Required)

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?(Required)

Yes

If yes, please explain

EMPLOYMENT HISTORY - 1

Name of Employer(Required)

Address of Employer(Required)

Street Address City State ZIP Code

Dates of Employment To:(Required)

Dates of Employment From:(Required)

Work Type on Start(Required)

Hr.

Wk.

Yr.

Work Type on Leaving(Required)

Hr.

Wk.

Yr.

List Job Responsibilities(Required)

Position Held(Required)

Full Time

Part Time

Job Title(Required)

May We Contact This Employer for a Reference Prior to a Job Offer?(Required)

Yes

Supervisor's Name(Required)

Supervisor's Title(Required)

Work Telephone(Required)

Reason for Leaving(Required)

Voluntary

Involuntary

If Involuntary, Please Explain:

Employment History - 2

2. Name of Employer

2. Address of Employer

Street Address City State ZIP Code

2. Dates of Employment To:

2. Dates of Employment From:

2. Work Type on Start

Hr.

Wk.

Yr.

2. Work Type on Leaving

Hr.

Wk.

Yr.

2. List Job Responsibilities

2. Position Held

Full Time

Part Time

2. Job Title

2. May We Contact This Employer for a Reference Prior to a Job Offer?

Yes

2. Supervisor's Name

2. Supervisor's Title

2. Work Telephone

2. Reason for Leaving

Voluntary

Involuntary

2. If Involuntary, Please Explain:

EMPLOYMENT HISTORY - 3

3. Name of Employer

3. Address of Employer

Street Address City State ZIP Code

3. Dates of Employment To:

3. Dates of Employment From:

3. Work Type on Start

Hr.

Wk.

Yr.

3. Work Type on Leaving

Hr.

Wk.

Yr.

3. List Job Responsibilities

3. Position Held

Full Time

Part Time

3. Job Title

3. May We Contact This Employer for a Reference Prior to a Job Offer?

Yes

3. Supervisor's Name

3. Supervisor's Title

3. Work Telephone

3. Reason for Leaving

Voluntary

Involuntary

3. If Involuntary, Please Explain:

PROFESSIONAL REFERENCES - 1

2. Name(Required)

First Last

1. Business or Home Address(Required)

Street Address City State ZIP Code

1. Telephone Number(Required)

PROFESSIONAL REFERENCES - 2

1. Name(Required)

First Last

2. Business or Home Address(Required)

Street Address City State ZIP Code

2. Telephone Number(Required)

PROFESSIONAL REFERENCES - 3

3. Name(Required)

First Last

3. Business or Home Address(Required)

Street Address City State ZIP Code

3. Telephone Number(Required)

Applications without Signatures will not be considered for employment

Applicant Signature(Required)

Please Type Your Name

Date(Required)

Verification of Signature(Required)

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

Drop files here or

Max. file size: 32 MB.

Consent(Required)

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.

CAPTCHA

APPLY BY: 
9/21/23

DATE POSTED:
9/12/23 – FHS/111

Contact:
Stacey J. Knack, M.B.A.
Director of Human Resources
Will County Health Department
501 Ella Avenue Joliet, IL 60433
Fax (815) 727-8526

Download the Adobe PDF application below, complete, and fax it to (815) 727-8526 or email to jgodfrey@willcountyhealth.org. Please include your resume with the job application.

Download Application