Financial Care Counselor

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.

PRN position: Saturday-Sunday 12p-630p

 

This job description intends to provide a representative and educated statement of the total of the specific duties and responsibilities that will be required of positions given this title, including the types of duties, and shall not be construed as knowledge, skills, and abilities for any particular position. Degrees, Licensure, and/or certification: this description. Required Qualifications: Employees may be directed to perform job-related tasks other than thoseService Access Representative: identifies, admits, schedules, registers and pre-registers patients with accurate patient demographic and financial data. Meets or exceeds data quality goals.

 

• Explain all required registration and billing forms and obtain 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 the Medicare Secondary Payer Questionnaire (MSPQ)• Collects PO into service payments. Meets or exceeds collection goals.•stimates for upcoming services when applicable.• arranges payment plans and offers financial assistance when applicable.• Reconciles daily cash deposits. • Performs duties necessary to ensure all accounts are processed efficiently. • Greets and assists our patients and visitors. •Exhibitsthe Exhibit the DUHS Values (Excellence, Safety, Integrity, Diversity, and Teamwork) at all times while on duty.• Explains policies and procedures and resolves problems. Gather the necessary documentation to support the proper handling of inquiries and complaints.• Explain bills according to PRMO financial assistance policies and resolve claim edits

 

• Completes a non-covered waiver form for patients considered out of• Researches denials and remedies expediently. network and receiving services at a reduced benefit level.•C completes waive for non-authorized services•Obtain authorizations based on insurance plan contracts; document the billing system according to policy and procedure.• Enter and update referrals as required.• Assists with departmental coverage as requested.

 

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 businesses will be considered. Two years of experience working in hospital service access, clinical service access, Phys icianoffice, or billing and collections, or an Associate's degree in an h healthcare field and one year of experience working with the public , or a Bachelor's degree and one year of experience working with the public, is required. None required excellent communication skills, oral and in writing. Ability to analyze data, perform multiple tasks work ind. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors rs. Must be able to understand and comply with policies and procedures.Distinguishing Characteristics of this Level: This position is deemed“essential”. Essential staff are 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 registration is performed in the Emergency Department and the inpatient units. This position requires long periods of walking, standing, and sitting. This position requires a working knowledge of compliance principles. The job provides the opportunity to work independently. specifically presented in

 

 

Minimum 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 of related business.