Duke University Health System
Financial Care Counselor - DUH ASC
Duke University Health System, Durham, North Carolina, United States, 27703
Overview
Join to apply for the
Financial Care Counselor - DUH ASC
role at
Duke University Health System . 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. 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. Responsibilities
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 screen 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; 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 payments; reconcile daily necessity of third party sponsorship and process patients in accordance with reimbursement; obtain all prior authorization and/or certifications as appropriate; facilitate payment sources for uninsured patients; determine liability/source of payment; admit, register and pre-register patients with accurate demographic and financial data; resolve insurance claim rejections/denials; evaluate diagnoses for compliance with Local Medicare Review Policy; perform duties to ensure accounts are processed accurately and efficiently; compile departmental statistics; manage collection actions and assist financially responsible persons in arranging payment; refer patients for financial counseling; update billing system to reflect insurance status; refer patients to Manufacturer Drug program as needed; greet and resolve problems; gather documentation for inquiries and complaints; enter and update referrals; communicate with insurance carriers regarding clinical information requested to resolve coverage issues. Qualifications
Excellent communication skills, oral and written. Ability to analyze relationships with patients, physicians, co-workers and supervisors; manage data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships. Must be able to understand and comply with policies and procedures. Level Characteristics
Position responsible for high production generated accurately in accordance with established business processes or regulation. Requires working knowledge of compliance principles. Job allows the opportunity to work independently. Minimum Qualifications
Education : 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. 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 Employment Type and Function
Seniority level: Entry level Employment type: Contract Job function: Finance and Sales Industries: Hospitals and Health Care Equal Opportunity
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—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.
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Join to apply for the
Financial Care Counselor - DUH ASC
role at
Duke University Health System . 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. 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. Responsibilities
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 screen 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; 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 payments; reconcile daily necessity of third party sponsorship and process patients in accordance with reimbursement; obtain all prior authorization and/or certifications as appropriate; facilitate payment sources for uninsured patients; determine liability/source of payment; admit, register and pre-register patients with accurate demographic and financial data; resolve insurance claim rejections/denials; evaluate diagnoses for compliance with Local Medicare Review Policy; perform duties to ensure accounts are processed accurately and efficiently; compile departmental statistics; manage collection actions and assist financially responsible persons in arranging payment; refer patients for financial counseling; update billing system to reflect insurance status; refer patients to Manufacturer Drug program as needed; greet and resolve problems; gather documentation for inquiries and complaints; enter and update referrals; communicate with insurance carriers regarding clinical information requested to resolve coverage issues. Qualifications
Excellent communication skills, oral and written. Ability to analyze relationships with patients, physicians, co-workers and supervisors; manage data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships. Must be able to understand and comply with policies and procedures. Level Characteristics
Position responsible for high production generated accurately in accordance with established business processes or regulation. Requires working knowledge of compliance principles. Job allows the opportunity to work independently. Minimum Qualifications
Education : 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. 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 Employment Type and Function
Seniority level: Entry level Employment type: Contract Job function: Finance and Sales Industries: Hospitals and Health Care Equal Opportunity
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—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.
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