Insurance Verification, Admissions & Medical Records Clerk

Durham, NC - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Southpoint Surgery Center (SPSC) an affiliate of North Carolina Specialty Hospital is a new Ambulatory Surgery Center located between Raleigh and Durham in the Durham-Southpoint area. SPSC will provide a differentiated outpatient delivery model focused on providing high-quality cost-effective solutions for surgical and related ancillary care for patients. SPSC is a multi-specialty 22298 sq. ft. facility accommodating the following: Ortho Spine Ophthalmology ENT GYN General Urology Plastics Podiatry Vascular and Pain. At SPSC you will find highly motivated team-players and a welcoming team-oriented staff.

Why join Southpoint Surgery Center

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: Insurance Verification Admissions & Medical Records Clerk

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 addition the position will assist with other admission reception duties and medical records 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 Job Functions:

Verifies surgical authorizations according to established policies and procedures
Compiling statistical Data and assisting with insurance audits
Greets patients/ families promptly and courteously as the patient arrives at the hospital.
Answers the telephone provides requested information or takes messages and directs caller to the appropriate personnel.
Provides interpretation of forms to be signed upon admission including patient rights and living will questions.
Reviews all patient forms for completeness accuracy and appropriate signatures.
Collects deposits and/or co-pays according to established guidelines.
Practices caution and uses good judgment in relaying messages and giving information to patients families and visitors.
Directs any patient family or visitor complaints to the appropriate person for prompt resolution.
Assembles and analyzes patients record after discharge.
Files all documentation in the medical record.
Maintains proper confidentiality of medical records and ensures limited access to the department.
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.
Utilize 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.
Predictable and reliable attendance is an essential function of this position
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.
Possesses comprehension of health insurance plans
Maintains positive working relationships and fosters cooperative work environment.
Adheres to the hospitals 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
Demonstrates respect for diverse backgrounds of all patients families and co-workers.

Job Requirements

High School Diploma or G.E.D.
Surgical authorization experience is required
One (1) to two (2) years minimum experience as an admissions clerk or in Health Information Services in a hospital setting.
Effective communication skills; both orally and written.
Computer skills needed.
Ability to work with others within a team to ensure quality patient care.
Strong critical thinking skills.

Our employees are critical to our success and we value their contributions. Southpoint Surgery Center offers a competitive compensation and benefits package and an opportunity to grow and develop your career in an environment that values employee ideas and diversity. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled. We maintain a drug-free workplace and require pre-employment drug screening and background check.

Why join Southpoint Surgery Center

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: Insurance Verification Admissions & Medical Records Clerk

General Summary of Duties:

Essential Job Functions:

Verifies surgical authorizations according to established policies and procedures
Compiling statistical Data and assisting with insurance audits
Greets patients/ families promptly and courteously as the patient arrives at the hospital.
Answers the telephone provides requested information or takes messages and directs caller to the appropriate personnel.
Provides interpretation of forms to be signed upon admission including patient rights and living will questions.
Reviews all patient forms for completeness accuracy and appropriate signatures.
Collects deposits and/or co-pays according to established guidelines.
Practices caution and uses good judgment in relaying messages and giving information to patients families and visitors.
Directs any patient family or visitor complaints to the appropriate person for prompt resolution.
Assembles and analyzes patients record after discharge.
Files all documentation in the medical record.
Maintains proper confidentiality of medical records and ensures limited access to the department.
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.
Utilize 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.
Predictable and reliable attendance is an essential function of this position
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.
Possesses comprehension of health insurance plans
Maintains positive working relationships and fosters cooperative work environment.
Adheres to the hospitals 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
Demonstrates respect for diverse backgrounds of all patients families and co-workers.

Job Requirements

High School Diploma or G.E.D.
Surgical authorization experience is required
One (1) to two (2) years minimum experience as an admissions clerk or in Health Information Services in a hospital setting.
Effective communication skills; both orally and written.
Computer skills needed.
Ability to work with others within a team to ensure quality patient care.
Strong critical thinking skills.