Financial Care Counselor (Commitment Bonus Eligible)
Durham, NC, US, 27710
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.
Position Hours: Four ten hours Tuesday through Friday, 8:00 a.m.–6:30 p.m.
Working Job Description Duties and responsibilities: Clinical Quality: 50% Identifies, admits, schedules, registers, and pre-registers patients with accurate patient demographic and financial data. Meets or exceeds data quality goals. # Explains all required registration and billing forms and obtains 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. # Creates estimates for upcoming services when applicable. # Arrange payment plans and offer financial assistance when applicable. # Reconciles daily cash deposits. # Performs duties necessary to ensure all accounts are processed accurately and efficiently.
Customer Service: 20% # Greets and assists our patients and visitors. # Exhibits the DUHS Values (Excellence, Safety, Integrity, Diversity, and Teamwork) at all times while on duty. # E explains policies and procedures and resolves problems. Gathers necessary documentation to support proper handling of inquiries and complaints. # Explains bills according to PRMO financial assistance policies.
Finance: 10%# Resolves claim edits. # Research denials and provide feedback. # Completes a non-covered waiver form for patients considered out of waiver for non-authorized services. #Obtains authorizations based on network and receiving. Services at a reduced benefit level. # Completes Rance Plan contracts and guidelines. # Documents the billing system according to policy and procedure. # Enters and updates referrals as required.
Work Culture: 20% # Assists with departmental coverage as requested. # Attends monthly staff meetings. Attends all required training and seeks continuous learning opportunities. # Maintains compliance with safety and training requirements. # Review PRMO policies and procedures on the PRMO website to maintain compliance with approved policies and procedures. # Contributes to an environment of collaboration and teamwork. 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 in related business will be considered. 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 are required. Nonrequi red. Excellent communication skills, oral and in writing. Ability to analyze data, perform multiple tasks, and work independently. Must be able to develop and maintain professional, service-oriented supervisors. Must be able to work relationships with patients, physicians, and co-workers and understand and comply with policies and procedures. Distinguishing Characteristics of this Level: This position is deemed "essential.". Essenti al staff are expected to report to work during inclement weather. This position is responsible for high productivity generated accurately by established business processes or regulatory requirements. Bedside registration is performed for long periods in the emergency department and the inpatient units. This position is walking, standing, and sitting. This position requires a working knowledge of compliance principles. The job requires the ability to work independently, specifically presented in bedside registration and work queues.
Minimum Qualifications
Duke is an affirmative action/equal opportunity employer committed to providing employment opportunities without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provisions for requests for reasonable accommodation will be provided by each hiring department.
Education
Work requires knowledge of basic grammar and mathematical principles normally required through high school education, with some post-secondary education preferred. Additional training or working knowledge of the edge 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 health care-related field and one year of experience working with the public. 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 committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh