Authorization & Health Information Specialist

Authorization & Health Information Specialist Job Category : Administrative‑Clerical Requisition Number : VERIF039261 Locations North Carolina Specialty North Carolina Specialty Hospital 3916 Ben Franklin Blvd Durham, NC 27704, USA Why join North Carolina Specialty Hospital? Award Winning Hospital for Special Surgery 5 Star CMS rated facility for patient experience Positive Work culture 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 participate in special projects as needed. Essential Functions Verifies surgical authorizations according to established policies and procedures Compiles statistical data and assists 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 to reduce incidence of injury and reports incidents 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 Maintains and protects confidentiality regarding all aspects of patient care, personnel and strategic issues Maintains positive working relationships and fosters a 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 using appropriate chain of command Complies with National Patient Safety Goals Follows universal precautions and infection control guidelines, including hand washing guidelines Performs other duties as required or assigned, reasonably within the scope of duties in this job classification Works independently to meet established deadlines Makes 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 Ability to work with others within a team to ensure quality patient care Strong problem‑solving skills Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr