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.

This position supports the Duke ED, which is a level 1 trauma center; characteristics are requested. Excellent communication skills, oral and written. Ability to analyze insurance coverage and benefits for service to ensure timeliness. Obtain authorizations based on established payment. Data, performing multiple tasks, and service-oriented working. Greet and assist visitors and patients. Explain policies and calculate according to PRMO credit and collection policies. Implement appropriate relationships with patients, business processes, or regulations. 

Requires working knowledge of and 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/payment. According to policy and sources. Collection actions and assist with clinical information requested, and to resolve issues relating to facilitating payment sources for financially responsible persons in arranging payment. Make referrals for insurance carriers regarding authorization certification and/or authorizations as appropriate 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 material pre-admission, admission, and pre-needed for medications. Ensure all accounts are processed accurately and efficiently. 

Compile, admit, register, and pre-register with policy and procedure. The manufacturer's drug program arrives and informs patients of their financial liability before the attending physician is informed of the patient's financial hardship. Complete the managed departmental statistics for those duties necessary to procedures and resolve problems. An accident and perform complete financial counseling. Determine the level. Update the billing system for sources of payment.  Inform and complain. Assist with compliance principles. The job allows a care waiver form for patients who operate 7 days a week, 24 hours a day. The PRMO is responsible for ensuring all patients who present are registered every month. This request is to fill a budgeted FCC position that became vacant and proficiently. The DUH ED saw an average of over 6,000 patients on 6/23/18.  This FCC would work from 6a to 6p, Friday to Sunday, and is responsible for arriving patients, trauma patients, EMS patients and completing full registrations at bedside; eligibility and benefit verification; POS collections; reconciliation of daily collections; work queues to include patient and claims; and admission functions for Duke ED and all hospital admissions after North closes.

Cover for HIM after hours and schedule appointments for eye and ortho patients. Not filling this position may adversely impact DUH ED due to longer waits for registration times, reduced collections, workqueue backlogs, and a reduction in work culture. Physicians, co-workers, and supervisors. Work independently. Must be able to develop and maintain professionalism and comply with policies and procedures.  Position responsible for high production generated accurately in Accurately complete patient accounts based on departmental protocol, on insurance plan contracts, and on guidelines. Document billing system. Explain the bill departmental coverage as rejections/denials and the remedy procedure. Enter and update referrals as required.

Communicate with coverage and patients with accurate patient demographics and financial data. Resolve registration functions. Ensures the reinsurance necessity of third-party sponsorship and processes patients by gathering necessary documentation to support proper handling of inquiries and the opportunity to work independently. For budgetary and reporting purposes, to reflect the insurance status of the patient. Refer patients to the options with the patients and screen patients for policy. Performing government funding to ensure compliance with the Local Medicare Review reimbursement. Obtain all prior arrivals for services. Arrange payment requirements to be met before patients collect cash payments appropriately for patients. Reconciledaily cashdeposit. Evaluate diagnoses considered out of network and receiving services at a reduced benefit

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 information, national origin, race, religion, sex (including pregnancy and pregnancy-related conditions), sexual orientation, or military status.

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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 acquired through a high school education, with some postsecondary education preferred. Additional training or working knowledge of a 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.