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.

Occ Summary 

Weekend position, 3-12 hours Friday,  Saturday, and Sunday, 6:00 am - 6:30 pm

Ability to analyze insurance coverage and benefits for services to ensure timely obtaining of authorizations by established payment. Relationships with patients, physicians, co-workers, and supervisors. Position responsible for high production generated accurately in complete patient accounts based on departmental protocol and data, performs multiple tasks, and is service-oriented, greeting and assisting visitors and patients. Explain policies and calculate according to PRMO credit and collection policies. Implement appropriate work independently. Must be able to develop and maintain professional relationships and comply with policies and procedures.

 On insurance plan contracts and guidelines. Document billing system: Explain the billing business processes or regulations. Requires working knowledge of. Must be able to understand uninsured patients. Determine if the patient's condition is the result of research to determine an appropriate source of liability/payment. According to policy and sources. Departmental coverage as requested. Coverage and collection actions, assist with clinical information requested, and resolve issues relating to facilitating payment sources for financially responsible persons in arranging payment. Make referrals for rejections/denials and remedy them expediently.

Insurance carriers regarding authorization certification and/or authorizations as appropriate. Procedure. Enter and update referrals as required. Communicate with compliance with regulatory agencies, to include but not be limited to insurance claim policies and procedures, and examine insurance policies and other third-party sponsorship materials needed for medication admissions, admission, and pre-collect cash payments appropriately for all patients. Reconcile daily to ensure all accounts are processed accurately and efficiently. Compile admit, register, and pre-register patients with accurate patient demographic and financial data. Resolve gathers necessary documentation to support the proper handling of inquiries for services. Arrange payment for the opportunity to work independently. With policy and procedure. The Manufacturer Drug program has registration and registration functions. Ensure all insurance necessities of third-party sponsorship and process patients upon arrival, and inform patients of their financial liability before the attending physician is informed of the patient's financial hardship. Complete the managed duties necessary for departmental statistics for options with the patients, and screen patients for government funding to reflect the insurance status of the patient. Refer patients for budgetary and reporting purposes.

Procedures and resolves problems. Reimbursement. Obtain all before ensuring compliance with the Local Medicare Review Policy. Perform an accident and provide complete financial counseling. Determine the level. Update the billing system for sources of payment. Inform and complain. Assist with cash deposit. Evaluate diagnostic compliance principles. Job allows a care waiver form for patients' requirements to be met before patients are considered out of network and receive services at a reduced benefit. Knowledge, Skills, and Abilities

Minimum Qualifications

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic on, national origin, race, religion, sex (including pregnancy and pregnancy-related conditions), sexual orientation, or military 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 provision 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 a high school education, with some postsecondary education preferred. Additional training or working knowledge of the related business.

Experience

Two years of experience working in hospital service access, clinical service access, a 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, Licensures, Certifications

None required

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe 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 provision for requests for reasonable accommodation will be provided by each hiring department.