TITLE: Diabetes Education Program Insurance Specialist

LOCATION: Melville, 3HQ building

DEPARTMENT: Primary Care Service Line GL

REPORTS TO: The Assistant Vice President of Diabetes Education / CH Employee Diabetes Management Program Pharmacist.

FLSA STATUS: Non-exempt

Catholic Health (CH) is an integrated health care delivery system with some of the region's finest health and human services agencies. CH includes six hospitals, three skilled nursing facilities, and a regional home nursing service, hospice and a multiservice, community-based agency for persons with special needs. Under the sponsorship of the Diocese of Rockville Centre, CH serves hundreds of thousands of Long Islanders each year, providing care that extends from the beginning of life to helping people live their final years in comfort, grace and dignity.

POSITION SUMMARY:

Provides administrative support for CH Diabetes Education and Endocrinology Program by completing insurance verification for all patients scheduled with a CH Certified Diabetes Care and Education Specialist.

DUTIES/ RESPONSIBILITIES:

• Perform insurance verification for all patients scheduled with a Certified Diabetes Care and Education Specialists in one of our ADA recognized Diabetes Education Center locations.
• Maintains the Diabetes Education Management Program shared drive and documents there in
• May schedule patient visits to Diabetes Education Program
• Communicate with My CHS Rx pharmacy regarding prescriptions coverage and copayments.
• Maintains accurate filing/record keeping systems
• Maintains excellent communication with internal staff members and with representatives from other departments and outside parties
• Conducts herself/himself in conformity with all Compliance Assurance Standards
• Performs related duties as assigned and unrelated duties as requested
• Employee conducts himself/herself in conformity with the HIPAA Compliance Program and applicable institutional policies and procedures for patient privacy. In addition, employee conducts himself/herself in conformity with CH Security Polices and Procedure

HIPAA

• Employee conducts himself/herself in conformity with the HIPAA Compliance Program and applicable institutional policies and procedures for patient privacy. In addition, employee conducts himself/herself in conformity with CH Security Policies and Procedures.

POSITION REQUIREMENTS AND QUALIFICATIONS:

• Business program certification and/or Medical Assistant Certificate
• Excellent typing skills
• Proficient in Word and Excel; Power Point preferred
• Strong organizational skills
• Ability to handle matters of a confidential nature
• Excellent communication skills and detail-oriented
• Excellent interpersonal skills with ability to work well with others and function in a team oriented environment
• Two (2) years related experience; healthcare preferred

At Catholic Health, your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.

BEHAVIORS:

Core CH Behaviors: The following behaviors have been identified as critical to this role at CHS:

• Integrity and Character - Exhibits high standards of personal conduct by engaging in ethical decision-making, honoring commitments, communicating openly/honestly, and living our values.

• Spirituality - Gives evidence of finding a higher meaning in work and demonstrates caring for others in body, mind and spirit.

• Performance - Creates a clear line of sight between strategic priorities and individual goals, monitors progress, provides accurate and timely feedback, and recognizes contributions.

• Communications - Communicates clarity of purpose and direction in a manner that energizes and fosters commitment; provides ongoing encouragement as well as information vital to success.

• Collaboration and Teamwork - Seeks out and values diversity in people and perspectives; manages conflict in a manner that improves results and relationships; acts in the best interest of all CH stakeholders.

• Care and Service - Consistently treats others with respect; holds team accountable to high service standards; appropriately involves others in decisions impacting them.

• Learning and Growth - Regularly invests time in developing and coaching others; energizes team to continuously improve processes, and share knowledge across CH.

• Future Focus - Actively seeks opportunity for growth consistent with CH’s Mission, Vision and Values.

• Change Leadership - Gains a willing commitment to change, and assists others in coping with ongoing pace of change.

• Achieving Results - Holds self and team members accountable for people, information, quality, and performance and growth outcomes.

The following additional characteristics have been identified specific to this position:

• Problem Solving - Analyzes interrelated elements of problems and works systematically to solve them; uses sound judgment to develop efficient and feasible resolutions to challenging issues.

• Relationship Building - Able to develop and maintain relationships with a variety of types of positions and individuals at both the National and hospital level.

• Analytical - Works to understand a complex situation, issue or problem by breaking it down into smaller pieces. Uses a step-by-step approach to evaluate consequences and implications.

• Coaching - Serves as an effective coach and teacher.

• Initiative - Employs a high degree of initiative in identifying and pursuing opportunities for improved operating processes and growth development.

Reasonable accommodation will be made to enable individuals with disabilities to perform the essential physical demands.

EXPECTATION FOR ALL EMPLOYEES:

• Conducts himself/herself in conformity with the Corporate Compliance Assurance Program and is committed to the mission and goals of Catholic Health.
• Plays an active role in the CH Information Security Awareness Program by following and supporting all CH information security policies and procedures to the best of their ability. This will include reporting any suspected fraud, abuse, or violation of policy to the appropriate management or reporting mechanism.
• Supports the organization’s mission, vision, and values by exhibiting the following behaviors: excellence and competence, collaboration, innovation, respect personalization, commitment to our community, and accountability and ownership.

Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties that the Administrative Assistant will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position