As part of the Revenue Cycle, the Central Scheduler is responsible for gathering all demographic and insurance information at the time of the scheduled appointment. This includes accurate test selection, coordinating the patient needs with the Financial Counselors, Insurance verifiers and referring clinics, patient preps for exams and pre-registration for the visit.
ESSENTIAL FUNCTIONS AND DUTIES
•Ensure all phone calls are answered in a timely (3 rings preferably), professional manner while warmly introducing self to caller and demonstrating sensitivity to diverse populations.
•Obtain an NPI for non-staff/unassigned physicians, and note this information in the system.
•Effective use of the online eligibility system in use at the facility to verify initial eligibility.
•Obtain and update all demographic information including address, phone, employer next of kin, emergency contact, etc... per the Meditech scheduling/pre reg screens.
•Must generate an Advanced Beneficiary Notice (ABN) via phone on all Medicare recipients per ABN department policy. This document must be scanned into the EMR for date of service.
Familiar with regulatory compliance related to Medical Necessity; also has a working knowledge of CPT/ICD codes.
•Knowledge of insurance plans, policy numbers, contracted vs. non contracted and the Sinai Health System Charity policy. Ability to adapt to insurance rule changes on a daily basis and attend insurance company orientation as volume permits.
•Must generate an Advanced Beneficiary Notice (ABN) via phone on all Medicare recipients per ABN department policy. This document must be scanned into the EMR for date of service. Familiar with regulatory compliance related to Medical Necessity; also has a working knowledge of CPT/ICD codes.
HIGH SCHOOL DIPLOMA OR G.E.D EQUIVALENT
MINIMUM WORK EXPERIENCE:
A minimum of 2 years working experience with a Patient Access department.
Schwab Rehabilitation Hospital is a freestanding, not-for-profit, 102-licensed bed facility onChicago’s West and Southwest Side that offers comprehensive inpatient and outpatient programs foradults and children. Schwab is a proud member of Sinai Health System and the first fully licensed andaccredited rehabilitation hospital in the Midwest.Our therapists see patients through the entire continuum o...f care, from acute inpatient admissions atMount Sinai Hospital, to inpatient rehabilitation and outpatient therapy services at Schwab. We alsohave a hospital-based rehabilitation-focused short-term sub-acute unit at Schwab that provides boththerapy and nursing services with exceptional outcomes.Our rehabilitation team takes a holistic, interdisciplinary approach to address the physical, cognitiveand psychosocial needs of each patient. Each patient is assessed and provided with a personalized careplan tailored to help achieve maximal independence and function. Schwab offers seven treatmentgyms featuring private treatment rooms, a warm-water indoor therapy pool, and an award-winningtherapeutic roof top garden.