Financial Care Counselor-Commitment Bonus

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.

 

Shift hours M-F 10 a.m.–630 p.m.

 

Occ Summary 

 

Ability to analyze insurance coverage and benefits for service to ensure timely obtaining of authorizations based on the established payment. Position responsible for high production generated accurately inAccurately complete patient accounts based on departmental protocol, greet, and assist visitors and patients. Explain policies, calculate, and adhere to PRMO credit and collection policies. Implement appropriate insurance plan contracts and guidelines. Document billing system: explain bills, business processes, or regulations. It requires working knowledge according to policy and medication. procedure.

 

Enter and update referrals as required. Communicate with policies and collect cash payments appropriately for all patients. Reconcile daily procedures in compliance with regulatory agencies, including but not limited to pre-mission, admission, pre-registration, and registration functions. Ensure all insurance requirements are met before patients' arrival, and inform patients of their financial liability prior to their arrival for services. Arrange payment options with the patients and screen patients for government funding sources. reimbursement. Obtain all prior authorization certifications and/or authorizations as appropriate. Facilitate payment sources for uninsured patients. Determine if the patient's condition is the result of an attack 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, denials, and remedies expediently. cash deposit. Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy. Perform those duties as necessary to make sure all accounts are processed accurately and efficiently. Compile departmental statistics for budgetary and reporting purposes. collect actions and assist financially responsible persons in arranging payments. Makership and processing of patients by policy and procedure. Examine for financial counseling. Determine the necessity of third-party insurance policies and other third-party sponsorship materials as sources of payment. Inform the attending physician of the patient's financial health. 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 Drug programs are needed for procedures and to resolve problems.

 

Gathers the necessary documentation to support the proper handling of inquiries and complaints. Assist with departmental coverage as requested regarding clinical information requested to resolve issues relating to coverage and data, perform multiple tasks, and 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.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, physician office 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 Employ