Duke PF
Financial Care Counselor - Ancillary Service Access (Float Position)
Duke PF, Durham, North Carolina, United States, 27703
Requisition Number: 261433
Regular or Temporary: Regular
Location:
Durham, NC, US, 27710
Date: Jan 8, 2026
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 Ancillary Service Access
Financial Care Counselor
Work hours: Monday – Friday 8:00a – 4:30p This is a float position and will require some travel. *** 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. Obtain authorizations based payment on insurance plan contracts and guidelines. Document billing system. Explain bills provides assistance to visitors and patients. Explain policies and departmental coverage as requested. Calculate and according to PRMO credit and collection policies. Implement appropriate collect cash payments appropriately for all patients. Reconcile daily necessity of third party sponsorship and process patients in accordance reimbursement. Obtain all Prior Authorization Certification and/or authorizations as appropriate. Facilitate payment sources for uninsured patients. Determine if patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment. Admit, register and pre-register patients with accurate patient demographic and financial data. Resolve insurance claim rejections/denials and remedy expediently. Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy. Perform those duties necessary to ensure all accounts are processed accurately and efficiently. Compile departmental statistics for budgetary and reporting purposes. Collection actions and assist financially responsible persons in arranging payment. Make referral for financial counseling. Determine with policy and procedure. Examine insurance policies and other third party sponsorship materials for sources of payment. Inform attending physician of patient financial hardship. Complete the managed care waiver form 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
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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 Ancillary Service Access
Financial Care Counselor
Work hours: Monday – Friday 8:00a – 4:30p This is a float position and will require some travel. *** 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. Obtain authorizations based payment on insurance plan contracts and guidelines. Document billing system. Explain bills provides assistance to visitors and patients. Explain policies and departmental coverage as requested. Calculate and according to PRMO credit and collection policies. Implement appropriate collect cash payments appropriately for all patients. Reconcile daily necessity of third party sponsorship and process patients in accordance reimbursement. Obtain all Prior Authorization Certification and/or authorizations as appropriate. Facilitate payment sources for uninsured patients. Determine if patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment. Admit, register and pre-register patients with accurate patient demographic and financial data. Resolve insurance claim rejections/denials and remedy expediently. Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy. Perform those duties necessary to ensure all accounts are processed accurately and efficiently. Compile departmental statistics for budgetary and reporting purposes. Collection actions and assist financially responsible persons in arranging payment. Make referral for financial counseling. Determine with policy and procedure. Examine insurance policies and other third party sponsorship materials for sources of payment. Inform attending physician of patient financial hardship. Complete the managed care waiver form 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
#J-18808-Ljbffr