Entry Level Insurance Investigator Jobs in Raleigh, NC

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Summary:
Performs duties of an Administrative Associate but with some authority to step outside confines of established procedures. They are also considered the subject matter authority in the administrative area for the department/clinic.
Responsibilities:
1. Assisting in developing budgets, monitoring expenditures, and reconciling financial statements. Investigating discrepancies and processing corrective actions.
2. Coordinating and completing special projects independently or in cooperation with other groups as assigned.
3. Determines administrative needs and making arrangements for conferences, meetings, seminars or other related activities.
4. Extracting and compiling data from written sources, individuals, and/or databases and providing interpretation.
5. Managing departmental information systems.
6. Preparing complex databases, reports, charts, graphs, spreadsheets at designated intervals as requested. Composing formal correspondence and documents for internal or external circulation.
7. Serving as point person for all complex customer service and administrative issues. Interpreting and communicating policies/procedures to other parties based on knowledge of the organization and departmental guidelines. Routinely providing guidance and direction to lower-level staff. Assists with screening applications and conducting initial interviews of entry-level staff as needed. Investigate patient and provider complaints and provide reports with root causes and service recovery.
Other Information
Other information:
Education Requirements:
• High School diploma or GED
Licensure/Certification Requirements:
• No licensure or certification required.
Professional Experience Requirements:
• Two (2) years of clerical or administrative experience
• If Bachelor's degree, no years of clerical or administrative experience
• If Associate's degree, one (1) year of clerical or administrative experience
Knowledge/Skills/and Abilities Requirements:
• Customer Focus: makes the customer and their needs their top priority and goes the extra mile to satisfy their customers. Demonstrates the ability to resolve customer problems. Technical expertise: understands the technical aspects of one's job. Effectively uses Microsoft office products in order to produce reports and documents. Demonstrates the ability to learn and master the scheduling system as appropriate Coachability: Receptive to feedback, willing to learn and embraces continuous improvement Accountability: Manages performance to meet expected results. Works to meet the internal/external customer requirements. Fiscal responsibility: Understands the insurance process and seeks to make the best decision/referral in the interest of the customer. Understands the relationship of the budget and resources to the strategic plan. Coaching: Shares information, advice and suggestions to help others to be more successful. Provides appropriate support and acts as a resource depending on the situation and capabilities of the employee. Conflict Resolution: Uses appropriate interpersonal styles and methods to reduce tension or conflict between two or more people. Finds agreement on issues and follows through on implementation Solving Problems: Uses logic and intuition to arrive at decisions or solutions to problems that achieve the desired outcome.
Job Details
Legal Employer: NCHEALTH
Entity: UNC REX Healthcare
Organization Unit: Rex Employee Health Services
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.66 - $26.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Raleigh
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.