JobsAdvocate Health

Ophthalmic Tech II

Advocate Health · Aurora, IL

Posted Sep 1, 2026 · We last checked this listing on Sep 20, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

Behavioral

Tell me about a time a patient's subjective responses during refraction were inconsistent or unreliable. What did you do?

how the tech handles the subjective, judgment-heavy part of refraction rather than just following a script

Describe a time you found something abnormal during testing that the physician hadn't caught yet. What did you do with that information?

judgment about escalation and willingness to speak up within scope of practice

Tell me about a day when the clinic was overbooked and multiple rooms needed turning over at once. How did you keep things moving?

time management and patient flow skills under the pace this clinic runs at

Tell me about a time you had to explain a test result or procedure to a patient who was confused or upset.

communication skill and ability to adjust language to the patient's level, a named job requirement

Technical

Walk me through how you perform a manifest refraction from start to finish, including the four steps of refinement.

whether the candidate actually knows the sphere-cylinder-axis-sphere sequence and can explain it clearly, not just perform it by rote

How do you use the Jackson Cross Cylinder to refine axis, and what tells you the axis is off?

depth of hands-on refraction skill beyond textbook knowledge

Walk me through how you perform Goldmann applanation tonometry and what you do if you get an unusual reading.

competency in a required core skill and awareness of when to escalate

How do you assess anterior chamber angle depth with the biomicroscope before dilating a patient, and why does that step matter?

understanding of the clinical reasoning behind a required safety check, not just the mechanics

How do you decide what to document yourself versus what needs to go to the nurse or physician, and how quickly do you get it into the EMR?

understanding of documentation policy and timeliness expectations

What's your experience with fundus photography or A-scan biometry, if any?

actual exposure to the secondary technical duties listed as 'may perform', to calibrate training needs

Situational

A patient's current glasses don't match what the auto-refractor is showing, and their vision complaints don't line up with either. How do you work through that?

clinical problem-solving when data sources conflict, a real recurring scenario in refraction

How do you present a recommended Rx to the physician after you've done the refraction?

whether the candidate understands their role as gathering and framing clinical findings for physician decision-making, not making the final call themselves

A patient is anxious and keeps giving contradictory answers during refinement, and there's a full waiting room behind them. What do you do?

ability to balance patient care quality against throughput pressure

Practice this interview out loud.

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The full job description

As published by Advocate Health.

Department: 02270 AMG Aurora Highland Ave - Ophthalmology Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: 8-5 M-F, Saturdays on rotation must be able to refract and applanate Pay Range: $25.30 - $37.95 Major Responsibilities: Direct Patient Care 1)Understands the complexity of the process of prescribing glasses for distance, intermediate, near, and astigmatism. (refraction/refinement) 2)Demonstrates the ability to proficiently perform the technical procedure of Manifest Refraction and Refinement. This requires more skill on the part of the refractionist because of the patient’s subjective responses. 3)Demonstrates the ability to proficiently complete the 4 steps of refinement: Sphere, Cylinder, Axis, Sphere 4)Demonstrates the knowledge needed to accurately assess the information provided by the auto-refraction and/or the patient’s current glasses in relationship to their vision and the health of their eye 5)Demonstrates the ability to accurately use the Jackson Cross Cylinder for refining axis 6)Demonstrates the ability to accurately fog vision and refine patient to obtain binocular balancing 7)Demonstrates the ability to present to the physician the recommended Rx based on clinical findings and patient tolerances 8)Demonstrates the ability to accurately perform Goldmann Applanation Tonometry to obtain intraocular pressures 9)Demonstrates ability to accurately assess anterior chamber angle depth with the biomicroscope prior to dilating 10)May perform fundus photography and/or Ascan biometry Indirect Patient Care 1)Consistently orders tests and assists the nurse or provider in communicating results according to department protocol or as ordered by physician. 2)Reports abnormal findings, patient complaints, or concerns, to Physician, or Team Lead or Supervisor or Nurse when appropriate. 3)Triages, prioritizes and completes messages, communicating information to patients in a timely manner. 4)Explains procedures and test results using language appropriate to patient's level of understanding guided by department protocols or physician/nurse instructions. 5)Serves as an advocate and liaison between patients, staff, physicians and external customers by sharing necessary information to ensure continuity of care. Documentation 1)Provides consistent and accurate documentation of patient information, care and concerns in the EMR according to the guidelines provided in the Documentation Policy and as otherwise instructed 2)Consistently completes vouchers, referrals and requisitions with all appropriate information including medical record number and services codes or using EMR 3)Completes all patient documentation within two full clinic business days after care and/or services have been provided according to the Missing Documentation policy guidelines Telephone Communication 1)Answers the telephone promptly within three rings, transferring calls when appropriate. 2)Utilizes outlined departmental and clinic scripting, including restating information to ensure clarity and accuracy. 3)Displays a courteous, alert and pleasant tone of voice, speaking clearly and in a relaxed manner. 4)Transfers calls when appropriate, staying on the line and announcing where and why call was transferred. Exceptions to announcing the call would include when transferring to an ACD agent. 5) Communicates effectively with internal and external customers. Time Management 1)Consistently watchful of patient flow by keeping rooms clean, stocked and available and maintains adequate inventory. 2)Consistently checks equipment and trays for proper functioning and availability in busy times. 3)Demonstrates flexibility by performing additional duties under the direction of licensed nursing staff or the provider. Education/Experience Required: High School Diploma or GED equivalent. 3-5 years experience in Ophthalmology and demonstrates proficiency in refracting and applanation tonometry. Knowledge, Skills & Abilities Required: Good communication skills Ability to type a minimum of 20wpm preferred. CPR Certification within 90 days Physical Requirements and Working Conditions: Must be able to successfully complete clinic-based training for all associates. Ability to work with all levels of personnel. Ability to work under stressful situations. Frequent periods of extended standing and sitting. Possible lifting and assisting of patients. If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training • Premium pay such as shift, on call, and more based on a teammate's job • Incentive pay for select positions • Opportunity for annual increases based on performance Benefits and more • Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health  Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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