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Surgery Partners, Inc • Durham, North Carolina, United States
Role & seniority: Insurance Verification, Admissions & Medical Records Clerk; entry to mid-level, junior to mid-career
Stack/tools: computer skills, automated processes, clinical information systems; health information / admission workflows
Verify surgical authorizations per policy; assist with performance improvement projects and insurance audits
Greet patients/families, handle admissions tasks, collect deposits/co-pays, and guide form/signature processes
Review patient forms for accuracy, assemble/analyze records post-discharge, maintain confidentiality, and file documents
High School Diploma or GED; surgical authorization experience
1–2 years in admissions or Health Information Services in a hospital setting
Effective oral/written communication; strong computer skills; teamwork; critical thinking
Prior hospital admissions/health information services experience
Knowledge of health insurance plans and HIPAA/privacy practices
Familiarity with medical records release processes and quality/compliance initiatives
Location & work type: Southpoint Surgery Center, Durham-Southpoint area (between Raleigh and Durham), North Carolina; full-time, with emphasis on predictable attendance; EOE, drug screen/background check required
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 22,298 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 audits. In 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 patient's 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 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 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.