Personal Information
Salutation:
*First Name:
M.I.:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
Nickname:
Email:
*How did you hear about us?:
*Home Phone:
Cell Phone:
Other Phone:
Emergency Contact Information
Contact Name:
Contact Phone:
Check if you are legally authorized to work in the United States:
Resume Uploaded!
Click Submit To Send Your Resume!
Position
*What position are you applying for:
Date available for work:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
Minimum rate per hour:
Days you are available for work:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
What shifts you are available to work:
Shift 1:
Shift 2:
Shift 3:
Preferred Shift:
Shift 1:
Shift 2:
Shift 3:
What times are you available to work from:
To:
Checking the below boxes indicates YES:
Do you have transportation:
Will you accept a same day assignment:
Will you accept a long term assignment:
Are you available part-time:
Are you available full-time:
Are you available temp-to-hire:
Are you available direct-hire:
Cities Will Work:
Cities:
Any Location
Baytown
Beaumont
Bridge City
Golden Triangle
Hardin County
Houston
Jefferson County
Lake Charles
Louisiana
Lumberton
Mid-County
Nederland
Orange County
Port Authority
Port Neches
Sabine Pass
Silsbee
Sulpher
Vidor
Skills
Skills:
FRONT OFFICE : Medical Office Assis
FRONT OFFICE : Ins. Verifications
FRONT OFFICE : Referalls
FRONT OFFICE : Appeals Clerk
FRONT OFFICE : Scheduling
FRONT OFFICE : Electronic Filing
FRONT OFFICE : Medical Records
FRONT OFFICE : Collections
FRONT OFFICE : Admitting
FRONT OFFICE : Check In/Check Out
BACK OFFICE : Medical Office Assis
BACK OFFICE : Vital Signs
BACK OFFICE : Charting
BACK OFFICE : Triage Patient
BACK OFFICE : Prep Patient
BACK OFFICE : EKG's
BACK OFFICE : X-Rays
BACK OFFICE : Injections
PROFESSIONAL : RN
PROFESSIONAL : LVN
PROFESSIONAL : CNA
PROFESSIONAL : Medical Office Asst.
PROFESSIONAL : Physical Therapist
PROFESSIONAL : XRay Tech
PROFESSIONAL : Surgery Tech
PROFESSIONAL : Unit Secretary
PROFESSIONAL : HIPPA Certifications
SOFTWARE : Medisoft
SOFTWARE : CMeds
SOFTWARE : Meds America
SOFTWARE : Palmetto
SOFTWARE : Medicare/Medicaid
SOFTWARE : 3rd Party Insurance
MEDICAL RECORDS CLERK : Charting
MEDICAL RECORDS CLERK : Filing
MEDICAL RECORDS CLERK : Release of Info
MEDICAL RECORDS CLERK : Scanning
Previous Employment
Enter as much information as you can. More details will help us better serve you. (Salary/Pay per hour: NOT REQUIRED in AL, CA, CO, CT, DC, DE, HI, IL, MA, MD, ME, MN, NJ, NY, OR, VT, WA):
Employer Information 1
Name of Employer:
Employment Dates
From:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
To:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Employer Information 2
Name of Employer:
Employment Dates
From:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
To:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Employer Information 3
Name of Employer:
Employment Dates
From:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
To:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Employer Information 4
Name of Employer:
Employment Dates
From:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
To:
September 2024
Sun
Mon
Tue
Wed
Thu
Fri
Sat
36
1
2
3
4
5
6
7
37
8
9
10
11
12
13
14
38
15
16
17
18
19
20
21
39
22
23
24
25
26
27
28
40
29
30
1
2
3
4
5
41
6
7
8
9
10
11
12
Location
Address:
City:
State:
Zip Code:
Job Information
Supervisor Name:
Supervisor Phone:
Job/Position:
Pay Per Hour:
Reason For Leaving:
Temporary Employment
Check if you have ever used a recruiting firm to obtain employment (Temp or Perm):
Agency I
Firm Name:
Address:
City:
State:
Zip Code:
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
Agency II
Firm Name:
Address:
City:
State:
Zip Code:
Please list at which clients you were placed, job category, and to whom you reported. Please share your thoughts on the agency and your assignment:
Education
High School Education
Name of high school:
High school degree:
High school diploma/certificate:
Business or Other Education
Name of school/program:
School/program degree:
School/program diploma/certificate:
College
Name of college:
College degree:
College diploma/certificate:
Apply For The Job
I certify that the information on this application is true and factual
Please
CLICK
'SUBMIT YOUR APPLICATION'
ONLY ONCE
. Depending on your connection speed it may take a few seconds for your computer to cycle to the next screen. Please be patient, the system is processing the application. If you click this button more than once you run the risk of submitting multiple applications.
Submit Your Application