Direct Jobs
Financial Care Counselor - PT/OT Arringdon and PT/OT East
Direct Jobs, Durham, North Carolina, United States, 27703
Overview
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.
Duke PT/OT Arringdon and PT/OT East
Financial Care Counselor
Work hours:
DUHS Commitment Bonus Program $5000.00 (paid in 2 installments over 12 months - 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 commitment bonus.
Duke University Health System - Patient Revenue Management Office (PRMO)
seeks to hire a
Financial Care Counselor
who will embrace our mission of Advancing Health Together.
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.
Work Performed
Analyze insurance coverage and benefits for service to ensure timely processing.
Obtain authorizations based on insurance plan contracts and guidelines.
Document billing system activities.
Explain bills and provide assistance to visitors and patients.
Explain policies and departmental coverage as requested.
Calculate and apply according to PRMO credit and collection policies.
Implement appropriate cash collection practices for all patients.
Reconcile daily third-party sponsorship needs and process patients in accordance with reimbursement.
Obtain all Prior Authorization and/or certifications as appropriate.
Facilitate payment sources for uninsured patients.
Determine if a patient’s condition is the result of an accident and perform research to determine the appropriate source of liability/payment.
Admit, register and pre-register patients with accurate patient demographics and financial data.
Resolve insurance claim rejections/denials in a timely manner.
Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Process all accounts accurately and efficiently.
Compile departmental statistics for budgetary and reporting purposes.
Initiate collection actions and assist financially responsible persons in arranging payment.
Refer patients for financial counseling.
Examine insurance policies and other third-party sponsorships for sources of payment.
Inform attending physicians of patient financial hardship.
Complete managed care waiver forms 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 Program as needed for medications.
Greet patients, address procedures, and resolve problems.
Gather necessary documentation to support inquiries and complaints.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requests and to resolve coverage issues.
Knowledge, Skills and Abilities
Excellent communication skills, oral and written.
Ability to analyze relationships with patients, physicians, co-workers and supervisors; data interpretation, multitasking, and independent work.
Professional, service-oriented working demeanor.
Ability to understand and comply with policies and procedures.
Level Characteristics
Position responsible for high production generated accurately in accordance with established business processes or regulations.
Requires working knowledge of compliance principles. Job allows the opportunity to work independently.
Minimum Qualifications Education
Works 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.
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 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 on the robust exchange of ideas—a 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.
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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.
Duke PT/OT Arringdon and PT/OT East
Financial Care Counselor
Work hours:
DUHS Commitment Bonus Program $5000.00 (paid in 2 installments over 12 months - 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 commitment bonus.
Duke University Health System - Patient Revenue Management Office (PRMO)
seeks to hire a
Financial Care Counselor
who will embrace our mission of Advancing Health Together.
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.
Work Performed
Analyze insurance coverage and benefits for service to ensure timely processing.
Obtain authorizations based on insurance plan contracts and guidelines.
Document billing system activities.
Explain bills and provide assistance to visitors and patients.
Explain policies and departmental coverage as requested.
Calculate and apply according to PRMO credit and collection policies.
Implement appropriate cash collection practices for all patients.
Reconcile daily third-party sponsorship needs and process patients in accordance with reimbursement.
Obtain all Prior Authorization and/or certifications as appropriate.
Facilitate payment sources for uninsured patients.
Determine if a patient’s condition is the result of an accident and perform research to determine the appropriate source of liability/payment.
Admit, register and pre-register patients with accurate patient demographics and financial data.
Resolve insurance claim rejections/denials in a timely manner.
Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Process all accounts accurately and efficiently.
Compile departmental statistics for budgetary and reporting purposes.
Initiate collection actions and assist financially responsible persons in arranging payment.
Refer patients for financial counseling.
Examine insurance policies and other third-party sponsorships for sources of payment.
Inform attending physicians of patient financial hardship.
Complete managed care waiver forms 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 Program as needed for medications.
Greet patients, address procedures, and resolve problems.
Gather necessary documentation to support inquiries and complaints.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requests and to resolve coverage issues.
Knowledge, Skills and Abilities
Excellent communication skills, oral and written.
Ability to analyze relationships with patients, physicians, co-workers and supervisors; data interpretation, multitasking, and independent work.
Professional, service-oriented working demeanor.
Ability to understand and comply with policies and procedures.
Level Characteristics
Position responsible for high production generated accurately in accordance with established business processes or regulations.
Requires working knowledge of compliance principles. Job allows the opportunity to work independently.
Minimum Qualifications Education
Works 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.
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 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 on the robust exchange of ideas—a 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.
#J-18808-Ljbffr