Financial Care Counselor (Commitment Bonus Eligible)

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

 

About Duke Health's Patient Revenue Management Organization

 

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.

 Working Job Description: Friday, Saturday, and Sunday 12-hour shift Weekend Options: 6:00 am–6:30 p.m.

 

Duties and responsibilities:

 

Clinical Quality: 50%• Identifies, admits, schedules, registers, and pre-registers patients with accurate patient demographic and financial data. Meets or exceeds data quality goals.• Explains all required registration and billing forms and obtains signatures where applicable. • Verifies insurance benefits using our electronic insurance verification system and/or contacts payors via website or phone. Assign the correct coverage to the patient’s account. • Completes Medicare Secondary Payer Questionnaire ( MSPQ).• Collects point-of-service payments. Meets or exceeds collection goals. • Creates estimates for upcoming services when applicable. • Arrange payment plans and offer financial assistance when applicable.• Reconciles daily cash deposits. • Performs duties necessary to ensure all accounts are processed accurately and efficiently.

 

Customer Service: 20%• Greets and assists our patients and visitors. • Exhibits the DUHS values (Excellence, Safety, Integrity, Diversity, and Teamwork) at all times while on duty. • Explains policies and procedures and resolves problems. Gathers necessary documentation to support the proper handling of inquiries and complaints. • Explains bills according to PRMO financial assistance policies.

 

Finance: 10% • Resolves claim edits. • Research denials and provide feedback. • Completes a non-covered waiver form for patients considered out of network and receiving. services at a reduced benefit level. • Completes waiver for non-authorized services. • Obtain authorizations based on insurance plan contracts and guidelines. • Documents the billing system according to policy and procedure. • Enters and updates referrals as required.

 

Work Culture: 20% • Assists with departmental coverage as requested. • Attends monthly staff meetings. • Attend all required training and seek continuous learning opportunities.• Maintains compliance with safety and training requirements.

 

• Review PRMO policies and procedures on the PRMO website to maintain compliance with approved policies and procedures. • Contributes to an environment of collaboration and teamwork. Required Qualifications Education: Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred. Additional training or working knowledge in related business will be considered. Experience: Two years experience working in hospital service access, clinical service access, physician offices, billing, and collaborations, or an Associate's degree in a healthcare-related field and one year of experience working with the public, or a Bachelor's degree and one year of experience working with the public are required. Degrees, licenses, and/or certifications: None required Knowledge, skills, and abilities: Excellent communication skills, oral and in writing. Ability to analyze data, perform multiple tasks, and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors. Must be able to understand and comply with policies and procedures. Distinguishing Characteristics of this Level: This position is deemed “essential”. Essential staff is expected to report to work during inclement weather. This position is responsible for high productivity, generated accurately by established business processes or regulatory requirements. Bedside regularization is performed in the emergency department and the inpatient units.

 

This position requires long periods of walking, standing, and sitting. This position requires working knowledge of compliance principles. A job requires the ability to work independently. This job description intends to provide a representative level of the types of duties and responsibilities that will be req