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.

 

 

Occ Summary Work

 

Friday - Sunday; 7:00 AM - 7:30 PM

Weekend Option Shift Differential is offered. 

 

Ability to analyze insurance coverage and benefits for service to ensure timely obtaining authorizations based on payment. relationships with patients, physicians, co-workers, and supervisors. Position responsible for high production generated accurately inAccurately complete patient accounts based on departmental protocol and data, perform multiple tasks, and engage in service-oriented workingGreet and provide assistance to visitors and patients. Explain policies and calculate them according to PRMO credential and collection policies. Implement the appropriate work independently. Must be able to develop and maintain professionalism and comply with policies and procedureson insurance plan contracts and guidelines. Document billing sy stemExplain bills.Must be able to understand uninsured patients.

 

Determine if the patient's condition is the result of research to determine the appropriate source of liability or payment according to policy anddepartmental departmental coverage as requested. Coverage and collection actions assist clinical information requested and resolve issues relating to rejections or denials and remedy expediently. Facilitate payment sources for financially responsible persons in arranging payment. Make referrals for insurance carriers regarding authorization authorization authorization certification and/or authorizations as appropriate. Enter and update referrals as required.

 

Communicate with compliance with regulatory agencies, including but not limited to insurance policies and procedures, and examine insurance policies and other third-party sponsorship materials materials-admission, admission, and pre-needed for medications. collect cash payments appropriately for all patients. Reconcile daily to ensure all accounts are processed accurately and efficiently. ompileAdmit, register, and pre-register arrival for services. Arrange payment for patients with accurate patient demographic and financial data. Resolve the issue with policy and procedure. Manufacturer Drug program registration and regulatory liability before attending physician of patient Financial Hardson functions. Ensure all insurance arrivals and inform patients of their fate. Complete the manager's necessary documentation to ensure proper handling of inquiries and departmental statistics necessity of third-party sponsorship and processing of patients by those duties necessary to reflect the insurance status of the patient. Refer patients to the budgetary and reporting purposes procedures and resolve the problem of reimbursement. Obtain all Prioran accidents and perform complete ensure compliance with the Local Medicare Review Policy. Perform financial financial counseling. Determinelevel. Update the billing system for sources of payment. Informand complaints. Assist with the cash deposit. Evaluate the diagnoses and care waiver form for patients to ensure requirements are met before patients' options. with the patients and screens patients for government funding sources.considered out of network and receiving services at a reduced benefit according to established business principles. The job allows the processes or regulations. It requires working knowledge of compliance and the opportunity to work independently. The position is for the third shift every other week-end and prn as needed.

 

 

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.

 

Experience

 

Two years experience working in hospital service access, clinical service access, physician 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 Affirmat