Online Job Application - Southeast Georgia Urology

Southeast Georgia Urology
Job Application

Please note that we only hire experienced medical office employees with very strong computer skills.
Southeast Georgia Urology is a strictly non-smoking environment.

Please fill in all fields on form below, then press "Submit Application".
Note that fields with an "*" are required.

Name *

First

Last

Email *

Home Phone *

Cell Phone *

Home Address *

Current Employer & Hourly Rate *

Expected Hourly Rate if Application is Accepted *

High School Degree (or GED), School Name & Year Degree Received *

College Degree (or GED), School Name & Year Degree Received *

----------------------------------------------------------------------------
In the box below, list any additional educational education/certification that would be pertinent to your application. Please include any experience you have in medical billing software and/or office software.

Additional Education/Certification(s) *

---------------------------------------------------------------------------
EXPERIENCE
Describe your last three medical office positions, including
(1) Office name & phone number
(2) hire date; hire salary/rate; ending salary/rate
(3) supervisor's name & number
(4) overview of responsibilities including medical software used
(5) reason for leaving the position

Please fill in all information listed above for each position.

Prior Medical Office Experience (1) *

Prior Medical Office Experience (2) *

Prior Medical Office Experience (3) *

Enter any additional information you would like considered with your application *