Direct Jobs
Financial Care Counselor - DUHS ASC and Periop
Direct Jobs, Durham, North Carolina, United States, 27703
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 supporting the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential functions.
Duke University Hospital ASC and Periop
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 for the bonus. Duke University Health System - Patient Revenue Management Office (PRMO)
seeks to hire a
Financial Care Counselor
to embrace our mission of Advancing Health Together. Responsibilities include accurately completing patient accounts based on departmental protocols, policies, procedures, and compliance with regulatory agencies, including pre-admission, admission, pre-registration, and registration functions. Ensure all insurance requirements are met prior to patient arrival, inform patients of their financial liability, arrange payment options, and screen for government funding sources. Work Performed Analyze insurance coverage and benefits to ensure timely processing. Obtain authorizations based on insurance plan contracts and guidelines. Document billing information in the system. Assist visitors and patients by explaining bills and policies. Calculate and process payments according to PRMO policies. Implement appropriate collection procedures for cash payments. Reconcile third-party sponsorships and process reimbursements. Obtain prior authorization certifications as needed. Facilitate payment sources for uninsured patients. Research liability/payment sources if patient's condition results from an accident. Register and pre-register patients with accurate demographic and financial data. Resolve insurance claim rejections/denials promptly. Evaluate diagnoses for compliance with Medicare policies. Ensure all accounts are processed accurately and efficiently. Compile departmental statistics for budgeting and reporting. Assist with collection actions and payment arrangements. Refer patients for financial counseling. Review insurance policies and third-party sponsorships for payment sources. Inform physicians of patient financial hardships. Complete managed care waiver forms for out-of-network patients. Update billing systems to reflect insurance status. Refer patients to manufacturer drug programs as needed. Greet patients, resolve issues, and gather documentation for inquiries and complaints. Enter and update referrals as required. Communicate with insurance carriers regarding clinical information and coverage issues. Knowledge, Skills, and Abilities Excellent communication skills, both oral and written. Ability to analyze relationships with patients, physicians, co-workers, and supervisors. Ability to perform multiple tasks independently. Develop and maintain professional, service-oriented working relationships. Understand and comply with policies and procedures. Level Characteristics Responsible for high-quality, accurate output per established processes and regulations. Requires working knowledge of compliance principles and independent work capabilities. MINIMUM QUALIFICATIONS Education:
Knowledge of basic grammar and math, typically through high school; postsecondary education preferred. Additional training or related work experience is beneficial. Experience:
Two years in hospital or clinical service access, billing, or collections; or an Associate's degree with one year of experience; or a Bachelor's degree with one year of experience. Degrees, Licensures, Certifications:
None required. Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. We value a community built on collaboration, innovation, and diversity. All community members are responsible for fostering an inclusive environment where all voices are heard and respected. Essential Physical Job Functions: Some roles may include specific physical and/or mental requirements. Requests for accommodations will be addressed by each hiring department.
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*** 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 for the bonus. Duke University Health System - Patient Revenue Management Office (PRMO)
seeks to hire a
Financial Care Counselor
to embrace our mission of Advancing Health Together. Responsibilities include accurately completing patient accounts based on departmental protocols, policies, procedures, and compliance with regulatory agencies, including pre-admission, admission, pre-registration, and registration functions. Ensure all insurance requirements are met prior to patient arrival, inform patients of their financial liability, arrange payment options, and screen for government funding sources. Work Performed Analyze insurance coverage and benefits to ensure timely processing. Obtain authorizations based on insurance plan contracts and guidelines. Document billing information in the system. Assist visitors and patients by explaining bills and policies. Calculate and process payments according to PRMO policies. Implement appropriate collection procedures for cash payments. Reconcile third-party sponsorships and process reimbursements. Obtain prior authorization certifications as needed. Facilitate payment sources for uninsured patients. Research liability/payment sources if patient's condition results from an accident. Register and pre-register patients with accurate demographic and financial data. Resolve insurance claim rejections/denials promptly. Evaluate diagnoses for compliance with Medicare policies. Ensure all accounts are processed accurately and efficiently. Compile departmental statistics for budgeting and reporting. Assist with collection actions and payment arrangements. Refer patients for financial counseling. Review insurance policies and third-party sponsorships for payment sources. Inform physicians of patient financial hardships. Complete managed care waiver forms for out-of-network patients. Update billing systems to reflect insurance status. Refer patients to manufacturer drug programs as needed. Greet patients, resolve issues, and gather documentation for inquiries and complaints. Enter and update referrals as required. Communicate with insurance carriers regarding clinical information and coverage issues. Knowledge, Skills, and Abilities Excellent communication skills, both oral and written. Ability to analyze relationships with patients, physicians, co-workers, and supervisors. Ability to perform multiple tasks independently. Develop and maintain professional, service-oriented working relationships. Understand and comply with policies and procedures. Level Characteristics Responsible for high-quality, accurate output per established processes and regulations. Requires working knowledge of compliance principles and independent work capabilities. MINIMUM QUALIFICATIONS Education:
Knowledge of basic grammar and math, typically through high school; postsecondary education preferred. Additional training or related work experience is beneficial. Experience:
Two years in hospital or clinical service access, billing, or collections; or an Associate's degree with one year of experience; or a Bachelor's degree with one year of experience. Degrees, Licensures, Certifications:
None required. Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. We value a community built on collaboration, innovation, and diversity. All community members are responsible for fostering an inclusive environment where all voices are heard and respected. Essential Physical Job Functions: Some roles may include specific physical and/or mental requirements. Requests for accommodations will be addressed by each hiring department.
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