Financial Care Counselor (PRN)

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.

 

Weekend Option PRN (Friday-Sunday) as needed.

 

Job Summary 

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 Medicare Secondary Payer Questionnaire (MSPQ) • Collects point-of-service payments. Meets or exceeds collection goals and signatures.

Creates estimates for upcoming services when applicable. Arranges payment plans and offers financial assistance when applicable. • Reconciles daily cash deposit. • Performs duties necessary to ensure all accounts are processed accurately and efficiently. 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. Gather necessary documentation to support proper handling of inquiries and complaints. • Explain bills according to PRMO financial assistance policies. • Resolves claim edits • Researches denials and remedies expediently. • 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.

 Obtains authorizations based on insurance plan contracts and guidelines. • Document the billing system according to policy and procedure. • Enter and update referrals as required. • Assists with departmental coverage as requested. Experience: Two years’ experience working in hospital service access, clinical service access, physician office, or boror bor 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 ith the public are required.Degrees, Licensure, and/or Certifications skillsanalyze data, oral, and in writing. Ability to analyzedata, perform modifications: None requiredKnowledge, Skills, and Abilities: Excellent commultiple tasksand 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 are expected to report to work in 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 on the inpatient units. This position requires long periods of walking, standing, and sitting. This position requires working knowledge of compliance principles. The job allows the opportunity to work independently. The job description intends to provide a representative level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. Experience: Required qualifications at this level are preferred. This job description intends to provide a representative and Education: responsibilities that will be required of positions given this title declaration of the total of the specific duties and responsibilities of the level of the types of duties and shall not be construed as a Knowledge, Skills, and Abilities: Identify, admit, schedule, register, and pre-register patients with accurate patient demographic and financial data. 

Resolve insurance claim rejections/denials expediently. Verify insurance benefits. Provide insurance benefit interpretation and counseling. Calculate and collect payments appropriately for all patients. Assist financially responsible persons in arranging payment. Reconcile the daily cash deposit. Meet collection and data quality goals. Perform duties necessary to ensure all accounts are processed accurately and effici