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• Full name✱
• Pronouns
  He/him
  She/her
  They/them
  Xe/xem
  Ze/hir
  Ey/em
  Hir/hir
  Fae/faer
  Hu/hu

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  • Use name only

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  • Custom

  We invite all applicants to share their pronouns with us. Sharing pronouns prior to connecting helps ensure an inclusive and respectful recruitment process from day one. Note that sharing your pronouns isn't mandatory.

• Email✱
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Cover Letter

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Where did you first hear about us?

• We would love to know! 😊✱

  • I have used Jane as a patient
  • I've worked with Jane in a clinic
  • LinkedIn
  • Jane Employee
  • Indeed
• Other

Work Eligibility 🇺🇸

• Are you legally authorized to work in the United States?✱

  • Yes, I am legally authorized to work in the US
  • No, I am not legally authorized to work in the US (Please note: we’re not able to offer sponsorship at this time)

Timezone

• Please specify which timezone you're in:

  • Pacific Standard Time
  • Mountain Standard Time
  • Central Standard Time
  • Eastern Standard Time
  • Newfoundland Standard Time

Availability

• When would you be available to start if selected for this position?

Pre-Booked Vacations

• Please let us know if you have any pre-booked vacations that we should know about:✱

Systems

• What EMR's or PM systems have you used?✱

Certified?

• Are you Certified? If so, through which Organization?✱

Disciplines

• Which Disciplines have you provided billing services for?✱

US Biller Pre-Application Questions

• What draws or motivates you to join Jane, and why do you feel this role is a strong fit for you?✱
• What EMR's or PM systems have you used?✱
• Are you Certified? If so, through which Organization?✱
• Which Disciplines have you provided billing services for?✱

Demographic Survey for Jane

We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Participation in this survey is entirely voluntary and will have no impact on your job application, whether you choose to respond or not. Your answers will be anonymised, kept secure and confidential, and kept separate from your name and application. The information collected will be used solely to evaluate our diversity and inclusion efforts.

• Which of the following best describes your gender?
  • Woman
  • Man
  • Non-Binary / Gender-Non-conforming
  • Other
  • Prefer Not To Say
• Are you part of the 2SLGBTQIA+ community?
  • Yes
  • No
  • Prefer Not To Say
• Select the race or ethnicity that you identify with most?
  • Asian American, Asian Canadian, East Asian, Southeast Asian and Pacific Islander (AAPI) - (e.g. China, Philippines, Japan, Mongolia, South Korea, and Taiwan)
  • Black, African, African American, African Canadian, Afro-Latinx or Caribbean
  • Hispanic or Latinx/Latine
  • Indigenous (Inuit, Metis,First Nations, and Māori)
  • Middle Eastern and North African (e.g. Morocco, Egypt, Jordan, Lebanon, etc.)
  • South Asian (e.g. Afghanistan, Pakistan, India, Nepal, Bhutan, Bangladesh, the Maldives and Sri Lanka)
  • White or Caucasian
  • Another racial or ethnic identity not listed
  • Multiracial / Multiethnic
  • Prefer not to say
• If you identify as Multiracial / Multiethnic, please select all that apply:

  If you do not identify as Multiracial / Multiethnic, please select "Question Not Applicable"

  • Asian American, Asian Canadian, East Asian, Southeast Asian and Pacific Islander (AAPI) - (e.g. China, Philippines, Japan, Mongolia, South Korea, and Taiwan)
  • Black, African, African American, African Canadian, Afro-Latinx or Caribbean
  • Hispanic or Latinx/Latine
  • Indigenous (Inuit, Metis,First Nations, and Māori)
  • Middle Eastern and North African (e.g. Morocco, Egypt, Jordan, Lebanon, etc.)
  • South Asian (e.g. Afghanistan, Pakistan, India, Nepal, Bhutan, Bangladesh, the Maldives and Sri Lanka)
  • White or Caucasian
  • Another racial or ethnic identity not listed
  • Prefer not to say
  • Question Not Applicable
• Do you identify as a person with a disability (including apparent or non-apparent)?
  • Yes
  • No
  • Prefer Not To Say