Bexar County Medical Society Staffing Service

EMPLOYMENT APPLICATION

Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. This application will take approximately 15 minutes to complete.

Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States?
Yes No
Are you willing to take a drug test?
Yes No
First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment  
City
State / ZIP Code    
Home Phone (Required) - Area code and phone number
Other Phone - Area code and phone number
Email Address
Resume - If you have a plain-text resume, paste it into the box below.

 

Availability

Are you willing to work temporary?
Yes No
Are you looking for a full-time career position?
Yes No
Are you looking for contract positions?
Yes No
When are you available to start?      
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?  
Are you willing to work overtime?
Yes No
What is the minimum pay you desire? Hourly rate or annual salary
How much notice will you need if a position is offered to you?
How many miles are you willing to travel to a position?
What kind of job are you looking for?

Education

Enter most recent - Do not enter start and end date if the most recent is high school

Name of School
Type of school  
Street Address
City
State / ZIP Code    
Start Date (Month / Year)    
End Date (Month / Year)    
Degree  
Major Study Area
Other Studies

Recent Employment

List most recent first

* Company Name
* Street Address
* City
State / ZIP Code    
Supervisor Name and phone number
Job Title
Job Duties
Start Date (Month / Year)    
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

* Company Name
* Street Address
* City
State / ZIP Code    
Supervisor Name and phone number
Job Title
Job Duties
Start Date (Month / Year)    
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

* Company Name
* Street Address
* City
State / ZIP Code    
Supervisor Name and phone number
Job Title
Job Duties
Start Date (Month / Year)    
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Enter the number of years of experience for each skill. Leave blank if no experience.
Faxing
Mail
Alpha
Numeric
Answer up to 3 phone lines
Answer up to 5 phone lines
Answer up to 10 phone lines
Phones 10 plus lines
PBX/Switchboard
Schedule Appts. Manually
Schedule appts. Computer
Schedule Surgeries
Check patients in only
Check patients out only
Collect Co-Pays
Balance - End of Day
Pulling Charts
Charting
Electronic
Utilization Review
Quality Assurance
Chart Review
Release of Information
Typing
Data Entry -Alpha
Data Entry - Numeric
485's
486's
Transcribing with dictaphone
Transcribing from written notes
Transcribing with heavy accents
Excel 7.0
Excel 97
FoxMed
Ivy
Lewis
Lotus 1-2-3
MS Word 7.0
MacIntosh
Mars
Med Manager
Meds America
Medic
Medisoft
MOMS
Quatro Pro
Quicken
Quick Books
Reynolds & Reynolds
Tri-Med/Integrity
Windows 95
Word Perfect 5.1 Dos
Word Perfect 6.0 Dos
Word Perfect 6.0 Windows
WordPerfect 7.0
Word Perfect 8.0
Versyss
Access 7.0
Access 97
Powerpoint 7.0
Powerpoint 97
Marketing
Ordering Supplies
Public Relations
Shorthand
Taking Minutes
Travel Arrangements
Acupuncture
Assess
Case Report Forms
Clinical Trials
Consent
Collect
Presentation
Data Verify
Record
Laboratory Specimens
Methodology
Patient Care
Patient Monitoring
Patient Enrollment/Recruiting
Protocol
Regulatory Documents/FDA
Report Preparation
Drug Studies
Treatment
Ins. Authorizations/Verifications
Precertifications
Referrals
Superbills
Posting Payments
Ins. Companies Claims Processing
Automated Billing
Electronic Filing
Manual filing
Champus
HMO
Initial
Medicaid
Medicare
PPO
Private
Secondary
Third Party
UB92s
Worker's Comp
HCFA Forms
5200s
ICD9 Coding
CPT Coding
Aged Accounts
Appeals
Co-Pays
EOBs
Follow up
Insurance Co.- Phone
Patient Phone Collections
Refiling
Re-Submits
Refunds
Transfer to Collection Agency
Write offs
Braille
French
German
Italian
Japanese
Latin
Portuguese
Russian
Sign Language
Spanish
Audits
Accounts Payable
Accounts Receivable
Balance end of the day
Bank Reconciliation
Bookkeeping
Budgets
Deposits
Financials
Negotiate Mergers
Profit & Loss Statements
Quarterly Taxes
Compensation
Policies & Procedures
Training
Budgets up to $249,999
Budgets up to $499,999
Budgets up to $999,999
Budgets up to $4,999,999
Employees Managed - Up to 9
Employees Managed - up to 49
Employees Managed - Up to 99
Sites managed 1 - 4
Sites managed up to 9
Sites managed up to 24
Ablation
Assessments
Audiology Tests
Biopsy
Bronchoscopes
Casting
Catheterization
Chaperone
Chemotherapy - Hang
Chemotherapy - Mix
Chemotherapy - Administer
Circulating
Circumcision
Colonoscopy
CPR
Cryosurgery
Dialysis
Dressing Changes
EEG
12 leads
10 leads
5 leads
Endometrial Biopsies
Flexsigmoidoscopies
Fingersticks
HB Vaccines
Heel Sticks
History Taking
Holter Moniter
Injections - Pediatrics
Injections - Adolescents
Injections - Adults
Injections - Intramuscular
Injections - Subcutaneous
Injections - Medications
Injections - Trigger Point
Instrument Experience
IUD Insert/Removal
Starting IV's
LEEP Procedure
Lipo Suction
Minor Surgeries
Mole/Wart Removal
Nebulizer Treatments
Needle Aspirations
Norplant Removal
OSHA
Pap Smears
Patient Education
Peak Flow Meter
Phlebotomy - Pediatrics
Phlebotomy - Adolescents
Phlebotomy - Adults
Physical Examinations
PKUs
Prescription Refills
Pulmonary Function Testing
Pulsoximeter
Rectal Exams
Sleep Apnea
Treadmill/Stress Test
Spirometry
Suture Removal
Toenail Removal
Trach Experience
Triage (Phone)
Triage (Walk-in)
Triage on Computer
Ventilators
Vasectomies
Vitals
ABGs/Blood Gases
Drug Screen Testing
Gestational Diabetes Testing
Glucose Testing
Hormonal Imbalance
Mono Testing
Prenatal Profile
Pregnancy Testing
Prothrombin Time (PT)
Strep Test
Thyroid Profile
Urinalysis
A-Scans
Lens Dispensing
Lens Fitting
Lensometry
Muscle Balance
Flursoscein Angiograms
Pupil Check
Refractions
Scribe
Slit Lamp Exam
Surgery Scrub
Tonometry
Triachiasis
Visual Acuity
Medical Back Office
X-RAY SKILL CODES
X-Ray - Abdominal
X-Ray - Back/Spine
X-Ray Chest
X-Ray Skull
C-Arm
CT Scan
X-Ray Extremeties
Bone Densitometer Experience
Fluoroscopy
IVP's (Injecting of Contrast)
Mammography
MRI
Nuclear Medicine
X-ray Neck
Radiation Therapy
Sonograms
Ultrasound

I understand the term of my employment shall be limited to the duration of any assignment that I accept.

I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination.

I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information.

When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.

 

I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I understand that I am applying for temporary or permanet assignments. The completion of the this application process shall constitute a conditional offer of employment subject to my availability and the availability of customer assignments calling for the skill and qualifications that I possess, and I agree to consider acceptance of such assignments.

Please take a moment to review your application.  Indicate that you have read the above statement by entering your initials in the box below.  To complete this application, click on the Submit Application button.

(Combine Initials and last 4 ssn,)

Ex...ABC/1234

Initials: and

Last 4 of SSN

 

  

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.