Financial Care Counselor - Duke Cardiology of Raleigh

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.

Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of Duke Health's mission across the state of North Carolina.

$5000 Commitment Bonus for qualifying candidates! 

JOB LOCATION

Duke Cardiology of Raleigh - 3320 Wake Forest Rd

JOB SUMMARY

We are seeking a Financial Care Counselor to accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions. Ensure all insurance requirements are met prior to patients' arrival and inform patients of their financial liability prior to arrival for services. Arrange payment options with the patients and screens patients for government funding sources. 

JOB DUTIES AND RESPONSIBILITIES

• Obtain prior authorization/pre-certification for clinic and cath lab procedures as required by insurance carriers as needed according to DHIP guidelines.
• Obtain insurance verification and inform patients of their financial liability.  Arrange payment options for financially liable patients.
• Pre-register patients with accurate patient demographics and financial data as needed. Contact patients in advance if they do not have insurance listed and create estimates. Properly document all patient communication.
• Resolve insurance claim denials/rejections. Work monthly denial list to find any billing or denial issues.
• Calculate and collect payments appropriately for all patients.
• Resolve appropriate WQ and claim edits.
• Inform attending physician of patient financial hardship and keep the providers update regarding any peer to peer requests.
• Update billing system account notes and referrals to reflect the current insurance status of the patient.
• Reconcile necessary billing and work queue issues. Assist with department coverage as needed. It will include: referrals, recalls, order workqueues, no-show lists, in-basket messages, log into the  cisco phone system and take calls to help the team, cover the front desk check-in and check-out.
• Gather necessary information and documentation to support proper handling of billing inquiries and complaints. Handle cash management and close out other employees cash on a daily basis.

JOB ELIGIBILITY REQUIREMENTS

• 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.
• 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.

JOB HOURS

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.

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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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.