• Job Description

  Req#: 12704

  About Us:

  At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

  Position Purpose:

  The Central Scheduler and Support Specialist is responsible carrying out various tasks that encompass administrative support, patient scheduling, and insurance verification, when needed. This role gathers updated demographic information and insurance information at the time of the scheduled appointment. Work consists of a variety of routine and non-routine duties of a clerical nature requiring use of independent judgment and decision-making skills within well-established parameters. This position may also be responsible for obtaining prior authorizations and concurrent review authorizations for the Intensive Outpatient Program.

  Key Job Activities:

  • Addresses incoming and outbound scheduling requests in a timely and professional manner.
  • Obtains or offers any necessary information as requested by management, including but not limited to NPI, request for transportation, or other data.
  • Uses all technology systems as instructed by Management including but not limited to Electronic Medical Record and Insurance Verification web sites.
  • Provides administrative and clerical support to one or more designated prescribers and the clinical staff.
  • Obtains and updates all demographic information at each and scans patient documents into EMR.
  • Checks the voicemail system as directed, clinic emails, log callbacks and clear messages within one business day. Responds to all patient calls and referrals within 24 hours and document completion.
  • Provides high level of customer service when engaging with patients, caregivers, and business partners.
  • Attempts to resolve and de-escalate any patient/customer service issues.
  • Responsible for patient insurance verification, benefits, eligibility when requested by manager to cover for Insurance Verifier. Utilizes the insurance verification systems and save in EMR.
  • Maintains supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing order for supplies.
  • Additional duties may include: o Ensures insurance benefits are current and active for patients in OP and IOP o Reviews patient medical records to gather the necessary information to support prior authorization requests for IOP.

  o Completes concurrent reviews for IOP to obtain coverage for the recommended visits. o Coordinates scheduling IOP Patients weekly with a provider and tracking IOP attending.

  • Performs other duties as assigned.

  Education and Work Experience:

  • High School Diploma or GED required, bachelor’s degree preferred.
  • 2+ years’ work experience with customer service area

  Knowledge and Skills:

  • MS Office (Word, Excel, PowerPoint, Access)
  • Knowledgeable of insurance plans and insurance eligibility systems (Ecare/Passport, Loxogon)
  • Medical/Psychiatric terminology
  • Meditech/NexGen/EPIC (preferred B/AR, ADM, PCI and scheduling modules)

  Certifications/Licenses:

  • None

  Workplace Conditions:

  PHYSICAL DEMANDS:

  • While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
  • The employee frequently is required to walk and stoop, kneel, crouch
  • The employee is occasionally required to stand
  • The employee must occasionally lift and/or move up to 25 pounds.
  • Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

  WORK ENVIRONMENT:

  • General office environment and the noise level in the work environment is usually moderate

  BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

  Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

  Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

  Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

  Benefits:

  Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

  Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

  Living the Values:

  • TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
  • RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions
  • QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
  • INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
  • SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
  • ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers

• About the company

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