Duke University Health System
Financial Care Counselor-Commitment Bonus
Duke University Health System, Raleigh, North Carolina, United States, 27601
Financial Care Counselor-Commitment Bonus
Join to apply for the
Financial Care Counselor-Commitment Bonus
role at
Duke University Health System .
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.
Occupational Summary Hours:
10:00 am – 10:30 pm
Weekend shift differential offered.
Responsibilities
Accurately complete patient accounts based on departmental protocol, policies, and procedures, and compliance with regulatory agencies.
Ensure all insurance requirements are met before patients’ arrival and inform patients of their financial liability before arrival for services.
Arrange payment options with patients and screen patients for government funding sources.
Analyze insurance coverage and benefits for service to ensure timeliness.
Obtain authorizations for insurance-based payment on insurance plan contracts and guidelines.
Document billing system.
Explain bills and assist visitors and patients.
Explain policies and departmental coverage as requested.
Calculate according to PRMO credit and collection policies.
Implement appropriate cash collection for all patients.
Reconcile daily third‑party sponsorship and process patients in accordance with reimbursement.
Obtain all prior authorization certifications and/or authorizations as appropriate.
Facilitate payment sources for uninsured patients.
Admit, register, and preregister patients with accurate patient demographic and financial data.
Resolve insurance claim rejections/denials and remedy expeditiously.
Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Perform duties necessary to ensure all accounts are processed accurately and efficiently.
Compile departmental statistics for budgetary and reporting purposes.
Assist financially responsible persons in arranging payment.
Make referral for financial counseling.
Determine policy and procedure compliance.
Examine insurance policies and other third‑party sponsorship materials for sources of payment.
Inform the attending nurse of the patient’s financial hardship.
Complete the managed care waiver form for out‑of‑network patients 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.
Greets and explains procedures, and resolves problems.
Gather necessary documentation to support proper handling of inquiries and complaints.
Assist according to policy and procedure.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requested and resolve issues relating to coverage.
Demonstrate excellent communication skills, oral and written.
Analyze relationships with patients, physicians, co‑workers, and supervisors; perform multiple tasks, and work independently.
Develop and maintain professional, service‑oriented working relationships.
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. The job allows for the opportunity to work independently.
Minimum Qualifications Duke is an Equal Opportunity Employer committed to providing employment opportunities 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—an exchange that is best when the rich diversity of perspectives, backgrounds, and experiences flourishes.
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. Each hiring department will provide additional information and provisions for requests for reasonable accommodation.
Education:
Work requires knowledge of basic grammar and mathematical principles, normally acquired through a high school education, with some post‑secondary education preferred. Additional training or working knowledge of related business is beneficial.
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.
Seniority Level Entry level
Employment Type Full‑time
Job Function Finance and Sales
Industries Hospitals and Health Care
Location:
Raleigh, NC
Salary:
$53,125.00 – $84,995.00
#J-18808-Ljbffr
Financial Care Counselor-Commitment Bonus
role at
Duke University Health System .
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.
Occupational Summary Hours:
10:00 am – 10:30 pm
Weekend shift differential offered.
Responsibilities
Accurately complete patient accounts based on departmental protocol, policies, and procedures, and compliance with regulatory agencies.
Ensure all insurance requirements are met before patients’ arrival and inform patients of their financial liability before arrival for services.
Arrange payment options with patients and screen patients for government funding sources.
Analyze insurance coverage and benefits for service to ensure timeliness.
Obtain authorizations for insurance-based payment on insurance plan contracts and guidelines.
Document billing system.
Explain bills and assist visitors and patients.
Explain policies and departmental coverage as requested.
Calculate according to PRMO credit and collection policies.
Implement appropriate cash collection for all patients.
Reconcile daily third‑party sponsorship and process patients in accordance with reimbursement.
Obtain all prior authorization certifications and/or authorizations as appropriate.
Facilitate payment sources for uninsured patients.
Admit, register, and preregister patients with accurate patient demographic and financial data.
Resolve insurance claim rejections/denials and remedy expeditiously.
Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Perform duties necessary to ensure all accounts are processed accurately and efficiently.
Compile departmental statistics for budgetary and reporting purposes.
Assist financially responsible persons in arranging payment.
Make referral for financial counseling.
Determine policy and procedure compliance.
Examine insurance policies and other third‑party sponsorship materials for sources of payment.
Inform the attending nurse of the patient’s financial hardship.
Complete the managed care waiver form for out‑of‑network patients 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.
Greets and explains procedures, and resolves problems.
Gather necessary documentation to support proper handling of inquiries and complaints.
Assist according to policy and procedure.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requested and resolve issues relating to coverage.
Demonstrate excellent communication skills, oral and written.
Analyze relationships with patients, physicians, co‑workers, and supervisors; perform multiple tasks, and work independently.
Develop and maintain professional, service‑oriented working relationships.
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. The job allows for the opportunity to work independently.
Minimum Qualifications Duke is an Equal Opportunity Employer committed to providing employment opportunities 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—an exchange that is best when the rich diversity of perspectives, backgrounds, and experiences flourishes.
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. Each hiring department will provide additional information and provisions for requests for reasonable accommodation.
Education:
Work requires knowledge of basic grammar and mathematical principles, normally acquired through a high school education, with some post‑secondary education preferred. Additional training or working knowledge of related business is beneficial.
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.
Seniority Level Entry level
Employment Type Full‑time
Job Function Finance and Sales
Industries Hospitals and Health Care
Location:
Raleigh, NC
Salary:
$53,125.00 – $84,995.00
#J-18808-Ljbffr