Insurance Specialist Job at Surgery Partners, Durham, NC

eUc5TXpobkhzQmh4T3oxekMxSUNmdTRY
  • Surgery Partners
  • Durham, NC

Job Description

Join to apply for the Insurance Specialist role at Surgery Partners, Inc

2 days ago Be among the first 25 applicants

Join to apply for the Insurance Specialist role at Surgery Partners, Inc

North Carolina Specialty Hospital (NCSH) is a private, physician-owned medical center that opened its doors in 1926. Its commitment to growth and continuous improvement has helped the hospital maintain a high ranking in both quality measures and patient satisfaction. North Carolina Specialty Hospital offers surgical specialties in orthopedics, ophthalmology, ear, nose, and throat, as well as sports medicine, oral, plastic, podiatry, general surgery, interventional radiology, pain management, reconstructive surgery, and more.

Why join North Carolina Specialty Hospital?

  • Award Winning Hospital for Special Surgery
  • 5 Star CMS rated facility for patient experience
  • Positive Work culture
  • Career growth opportunities
  • Comprehensive Medical, Dental, Vision Insurance, Life and Disability Insurance
  • Telemedicine/You have access to Physicians 24/7/365 through MDLIVE
  • Paid Time Off
  • 401k Employer Match
  • Tuition Assistance

JOB TITLE : Authorization & Health Information Specialist

General Summary Of Duties

Under the direction of the Admitting and Health Information manager, this position is responsible for verifying surgical authorizations, assisting with Performance Improvement projects, compiling statistical data, and insurance audits. In addition, the position will assist with other admission and reception duties as needed. Anticipate the needs of customers and work proactively to improve services. Work with others to improve customer satisfaction and participates in special projects as needed.

Essential Functions

  • Verifies surgical authorizations according to established policies and procedures
  • Compiling statistical Data and assisting with insurance audits
  • Assists with reception and admission needs as necessary.
  • Follows all applicable laws and regulations regarding the release of information and the maintenance of medical records, including those that relate to the age and legal status of the patient.
  • Prioritizes work assignments and accomplishes tasks accurately and in a timely manner.
  • Utilizes automated processes and clinical information systems appropriately and efficiently.
  • Utilizes concepts of age/developmental stages in interactions with patients and families.
  • Adheres to all Hospital Policies and Procedures, specifically Guidelines for Appropriate Conduct, Corporate Compliance, Diversity, and Confidentiality.
  • Identifies potential risks to patients: identifies risks to patients in order to reduce incidence of injury; identifies actions to eliminate, minimize or report risks; identifies procedures to follow in the event of an incident; reports processes for common problems, failures and user errors.
  • Demonstrates the spirit of the philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment.
  • Applies the principles and values of customer service and continuous quality improvement while performing day-to-day activities of the position.
  • Maintains and protects confidentiality regarding all aspects of patient care, personnel and strategic issues.
  • Adheres to Confidentiality Policy.
  • Maintains positive working relationships and fosters cooperative work environment.
  • Adheres to the hospital's "Guidelines for Appropriate Conduct" in the HR Manual.
  • Displays honesty and mutual respect when communicating with peers and other departments.
  • Follows through on problems that may compromise effective job performance by using appropriate chain of command.
  • Complies with National Patient Safety Goals.
  • Universal precautions and infection control guidelines, including hand washing guidelines followed at all times.
  • Performs other duties as required or assigned, which are reasonably within the scope of duties in this job classification
  • Ability to work independently to meet established deadlines
  • Ability to make sound reasonable decisions
  • Demonstrates respect for diverse backgrounds of all patients, families and co-workers.
  • Seeks guidance, direction and assistance when needed.

Education

  • High School or equivalent

Experience

  • Surgical authorization experience is required

Skills, Knowledge And Abilities

  • Effective communication skills; both orally and written.
  • Highly organized.
  • Computer skills needed.
  • Ability to work with others within a team to ensure quality patient care.
  • Strong problem-solving skills.
Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Other
  • Industries
    Hospitals and Health Care

Referrals increase your chances of interviewing at Surgery Partners, Inc by 2x

Sign in to set job alerts for Insurance Specialist roles.
Account Associate - State Farm Agent Team Member

Durham, NC $35,000.00-$64,000.00 1 year ago

Account Associate - State Farm Agent Team Member
Account Associate - State Farm Agent Team Member

Chapel Hill, NC $45,000.00-$65,000.00 7 months ago

Account Associate - State Farm Agent Team Member

Durham, NC $40,000.00-$60,000.00 6 months ago

WORK FROM HOME/HOME BASED INSURANCE AGENT
Account Associate - State Farm Agent Team Member

Efland, NC $40,000.00-$55,000.00 7 months ago

MEDICARE / INDIVIDUAL HEALTH INSURANCE SALES
Insurance Staff Position - State Farm Agent Team Member

Pittsboro, NC $40,000.00-$60,000.00 2 years ago

Raleigh, NC $38,000.00-$58,000.00 7 months ago

Raleigh, NC $39,000.00-$42,000.00 6 months ago

$18/hour Remote Patient Care Coordinator

Morrisville, NC $17.00-$18.00 17 hours ago

Entry level to insurance agency owner remote (Raleigh NC)

Raleigh, NC $75,000.00-$200,000.00 3 months ago

Insurance and Financial Services Position - State Farm Team Member

Chapel Hill, NC $76,000.00-$88,000.00 5 months ago

Cary, NC $77,638.00-$124,019.00 2 days ago

Client Service Manager - Personal Insurance
Account Associate - State Farm Agent Team Member
Insurance Support Services Representative
Insurance Agent (Base salary + Uncapped commissions)

Morrisville, NC $32,000.00-$100,000.00 2 days ago

Future Opening: Insurance and Financial Services Position - State Farm Agent Team Member
Revenue Cycle Representative - Physician Insurance Billing and Follow-Up
Insurance Agent (Base salary + Uncapped commissions)

Raleigh, NC $32,000.00-$100,000.00 2 days ago

Entry-Level Associate - Recent Graduates

Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr

Job Tags

Full time, Remote work,

Similar Jobs

Kaman Corporation

NDT Level II Tech A, 2nd shift Job at Kaman Corporation

Job Description Kamatics, a division of Kaman, offers a fantastic culture that focuses on collaboration, innovation, and opportunities for career growth through training and support for all team members. We are searching for a dynamic and motivated NDT Level II Technician...

Caron Transportation Systems USA

Class A CDL Driver Hazmat Job at Caron Transportation Systems USA

 ...on on-time delivery and customer satisfaction. Our US operations are comprised of Bulk Dry and Liquid Logistics, primarily for the Oil & Gas Industry. We are currently seeking full-time CDL Class A Drivers for our Williston, ND terminal. This position reports directly... 

Bristol Global Mobility

Corporate Relocation Consultant Job at Bristol Global Mobility

 ...OVERVIEW Act as the single point of coordination relocation services to transferees based on the clients relocation policy. Services and related benefit consultation provided by the Relocation Consultant may include home marketing, home sale, home purchase, temporary... 

Efinity Mortgage

Mortgage Lender Officer Assistant Job at Efinity Mortgage

 ...We're searching for a detail-oriented mortgage loan officer assistant. This position will play a vital part in communicating with referral partners, current and past clients, real estate agents, lenders, and underwriters to nurture relationships and develop new business... 

G.N. JOHNSTON EQUIPMENT

Road Service Technician Job at G.N. JOHNSTON EQUIPMENT

 ...today! Position Summary: Are you good with your hands, have a knack for all things technical? Join Johnston Equipment as a Road Service Technician. As the Road Service Technician, you will be conducting maintenance checks and diagnosing repairs for lift trucks...