HEALTHCARE EMPLOYMENT APPLICATION

If this Employment Application is not the most appropriate for you, please return back to the Main Application page

Please fill out the application below as completely as possible. Items marked * are required

Personal Information

Are you over 18 and legally able to work in the USA?:  

Yes      No

 

First Name*:  

Middle Name:  

Last Name*:  

Nickname / Preferred Name:  

Street Address / Apartment:  

 

City:  

State / ZIP Code:  

 

 

Home Phone*:  

- XXX-YYYY ZZZZ

Other Phone:  

- XXX-YYYY ZZZZ

Email Address*:  

(if none, enter XXX@XXX.com)

Resume

Please save your resume in .txt or .rtf format; then cut and paste it below

 

Availability

Are you willing to work as a Temp or temp-to-Hire?: 

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?:  

Are you willing to work overtime?:  

Yes

No

What is the minimum pay you require?:  

Hourly rate or annual salary

How much notice do you need?:  

How far are you willing to travel?:  

miles

Please advise the Albion Division most applicable to your experience*:  

 

 

 

Education

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

Name of School:  

Type of school:  

City:  

 

State:  

 

Start Date (Month / Year):  

End Date (Month / Year):  

Degree:  

Major Study Area:  

Other Studies:  

 Recent Employment

List most recent first

Most recent Company Name:  

City:  

State:  

 

Supervisor Name:  

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

Previous Company Name:  

City:  

State:  

 

Supervisor Name:  

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

Previous Company Name:  

City:  

State:  

 

Supervisor Name:  

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

areas of expertise

Please indicate if you have had experience in the following areas

 

Admissions Cardiology Claims - Blue Cross /Shield Claims / Customer Service
Contract Negotiations Co-Pay Deductibles CPT - 4 Coding Dental
Dermatology DME Billing / Collections Electronic Billing Endocrinology
Front Desk HCFA 1500 HMO Home Health Billing
Hospital Billing ICD-9 Coding Infectious Disease Infusion Billing
Inpatient Billing Insurance Billing Insurance follow up Insurance Negotiations
L.P.A. Billing Lab Technician Medicaid Medical Ass't - Cardiology
Medical Ass't - ECG / EKG Medical Ass't - Gastroenterology Medical Ass't - General Medical Ass't - Hospital
Medical Ass't - Internal Medical Ass't - OBGYN Medical Ass't - Orthopedic Medical Ass't - Other
Medical Ass't - Pediatrics Medical Ass't - Phlebotomy Medical Ass't - Pulmonary Medical Ass't - Surgical
Medical Ass't - Urology Medical Ass't - X Ray Tech Medical Billing Medicare "A"
Medicare "B" MOO's Neonatology Neurology
OB/GYN Orthopedics Outpatient Billing Payroll
PBX Operations Pediatrics Pharm Tec Pharmaceutical Billing
Phlebotomy PPO's Pre-Authorization Radiology Technician
Reception / Switchboard Scheduling Secondary Coverage Secretarial - Insurance
Secretarial - Medical Secretary - Executive Surgical Transcribing - Medical
UB92 Workers Compensation X Ray - Basic Machine Opn    
               

 

OFFICE SOFTWARE

 

E-Mail

 

MS Powerpoint

 

MS Excel

 

Windows

 

MS Word

 

MS Access

languages

 

English

 

Italian

 

Cantonese/Mandarin

 

Portuguese

 

Spanish

 

French

 

Creole

ALBION FEES AND NON-CIRCUMVENTION POLICY

Albion NEVER charges a fee to our candidates - our fees are ALWAYS paid by our clients.  IF YOU ARE INTRODUCED TO A COMPANY BY ALBION AND ARE OFFERED EMPLOYMENT WITHIN 12-MONTHS OF INTRODUCTION, AS EITHER AN EMPLOYEE OR AS A CONSULTANT, YOU MUST IMMEDIATELY ADVISE ALBION OF SUCH EMPLOYMENT OFFER.  We are brining this to your attention as a result of actions by certain unscrupulous companies that have attempted to circumvent paying our fees. If you do NOT advise Albion that you have accepted an employment offer, your failure will result in you being involved in whatever litigation necessary for Albion to recover its fees.

By clickingg on "Submit Application" below, you acknowledge your understanding of the above and that you have read and agree to Albion Employment Policies

Initials*: