Patient Account Associate

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.

General Description of the Job Class: Record and generate a variety of information pertaining to the patient revenue process associated with Financial Assistance Policies. This accuracy-driven, high-performance level position requires a certain degree of knowledge of complex rules and a corresponding ability to apply these rules in the work environment to achieve desired outcomes.

 

Workflow associated with Financial Assistance Applications (75%):

· Answer and resolve all inbound inquiries and issues regarding financial assistance support for Duke patients.

· Identify professionally on all calls, inquiries and inventory aligning to all Duke branding and Self-Pay, Call Center/MyChart expectations

· Analyze and complete all Financial Assistance Applications that are presented by collecting information and data, conducting thorough research of the EPIC patient accounting systems, Hyland OnBase for documents that may have been imaged (EOBs, historical statements, admitting documentation, patient correspondence, etc.), as well as RTE and payer portals for insurance eligibility when necessary. Analyze information for an appropriate solution and take the necessary actions needed to resolve the inventory timely and accurately.

· Follow through on all customer issues promptly and accurately, seeing through to completion.

· Thoroughly update and document notes/system comment fields with all information pertaining to all inventory workflow streams (i.e. questions, answers, actions, follow-up items required).

· Communicate with the patient, physicians, collection agency, internal departments and all other internal and external customers in a professional, courteous, and respectful manner.

· Post adjustments when supported by policy; contractual/pro-rated uninsured discounts and other adjustments as necessary, following appropriate policy guidelines.

· Provide financial counseling to patients, guarantors, and attorneys regarding charges for health care services. Validate that charges are correct and request medical review and audit when/if

necessary.

· Discuss and establish payment plans for patients that require terms to pay off a balance or guide patient through financial assistance options.

· Maintain a working knowledge of relevant payer billing requirements, Self-Pay workflows, MyChart functions and reimbursement regulations.

· Follow escalation protocols where applicable to ensure appropriate and timely resolution of all patient inquiries.

· Proactively report trends and system-related issues to management in a proactive & timely manner.

· Meet and maintain quality, production and behavioral standards as documented in the onboarding documentation as well as monthly validation reviews.

· Adhere to DUHS badge swiping/clocking and time/attendance policies.

· Work pending inventory in a first in-first out manner and maintain appropriate inventory levels as instructed by management.

· Participate in committee meetings across our entity as it relates to accounts receivable and/or financial data operation improvements, as necessary.

· Produce itemized statements and financial assistance determination letters and mail to patients, as applicable to health-system financial assistance policy standards.

· Assist patients that are requesting financial assistance by conducting an initial screening and sending that patient a copy of the application when requested. Provide regular and timely feedback regarding processing status of the application(s).

· Follow departmental policies necessary for charge corrections, transferring credits, coding changes, service/charge disputes, and locating payments.

· Follow appropriate policy, update all system information to accessible fields to include correct registration information, address, telephone numbers, guarantor information, employer information, insurance information, etc.

 

Workflow Associated with Estates (20%):

· Review aged statement holds for release and resolution as they arise.

· Answer and resolve all inbound inquiries and inventory via workflows for Estates in timely and accurate manner.