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.

***$5000.00 Commitment Bonus (2 installments over 12 months in 6-month increments)

* Only new hires who have not worked for Duke University in the past 12 months (at the time of offer) are eligible to receive the sign-on bonus.

 

Occ Summary

 

 Ability to analyze insurance coverage and benefits for service to ensure a timely manner of obtaining authorizations by this bill payment. Position responsible for high production-generated accura telyinAccuratelycomplete patient accounts based on departmental protocol, Greets and assists visitors and patients. Explain policies and calculate and adhere to PRMO credit and collection policies. Implement appropriate insurance plan contracts and guidelines. Document billing systems explain billing relationships with patients, business processes, or regulations. Requires working knowledge of collection actions and assistance. policies and procedures, working in compliance with regulatory agencies, to include but not be limited to pre-admission, admission,pre-regis tration, and registration functions. Ensure all insurance requirements are met before the patient's arrival, and inform patients of their financial liability before their arrival for services. Arrange payment options with the patients and screen patients for government funding sources. departmental control to collect cash payments appropriately for all patients. Reconcile the necessity of third-party sponsorship and process patients by reimbursement. Obtain all prior authorization certificates and/or authorizations, as appropriate.

 

Facilitate payment sources for uninsured patients. Determine if the patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability or payment. Admit, register, and pre-register patients with accurate patient demographic and financial data. Resolve insurance claim rejections or denials and remedy them promptly. cash deposit. Evaluate diagnoses to ensure compliance with the Local Medical Review Policy. Perform those duties necessary to ensure all accounts are processed accurately and efficiently. Compile departmental mental statistics for budgetary and reporting purposes.financiallounseli ng. Determine the policy and procedure. Examine the insurance policies responsible for arranging payment. Make referrals for financial statements and third-party sponsorship materials for sources of payment. Informing physicians of patient financial hardship. Complete the managed care waiver form for patients considered out of network and receiving services at a reduced benefit level.

 

Update the billing system to reflect the insurance status of the patient. Refer patients to the manufacturer's drug program as needed for procedures and to resolve problems. Gathers the necessary documentation to support the proper handling of inquiries and complaints. Assist according to policy and procedure. Enter and update referrals as required. Communicate with insurance carriers regarding clinical information requests and resolve issues relating to coverage among physicians, co-workers, and supervisors. data, perform multiple tasks, and work independently. Must be able to develop and maintain professional, service-orientedMust be able to understand and comply with policies and procedures. compliance principles. The job provides the opportunity to work independently.

 

 

 

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 businesses.

 

Experience

 

Two years of experience working in hospital service access, clinical service access, the physician's office, or billing and collections. 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.

 

Degrees, licenses, and certifications

 

None required

 

Duke is an Affirmative Action/Equal Opportunity Employer c