Duke University Health System
Financial Care Counselor - Radiation Oncology
Duke University Health System, Durham, North Carolina, United States, 27703
Financial Care Counselor
Raleigh, NC – Salary: $53,125.00 to $84,995.00 – Posted: 4 days ago
About Duke Health's Patient Revenue Management Organization
We are driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Duke Health’s Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential revenue functions.
Duke Radiation Oncology
Financial Care Counselor
Work hours : First shift
DUHS Commitment Bonus Program: $5,000.00 (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 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.
Responsibilities
Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies.
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 for government funding sources.
Analyze insurance coverage and benefits for service to ensure timely submissions.
Obtain authorizations based on payment 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 according to PRMO credit and collection policies.
Collect cash payments appropriately for all patients.
Reconcile daily necessity of third party sponsorship and process patients in accordance with 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 research to determine appropriate source of liability/payment.
Admit, register and pre‑register patients with accurate demographic and financial data.
Resolve insurance claim rejections/denials and remedy expediently.
Evaluate diagnoses to ensure compliance with 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 and collecting.
Refer for financial counseling.
Determine referral 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 managed‑care waiver forms for patients considered out of network and receiving services at reduced benefit level.
Update billing system to reflect insurance status of the patient.
Refer patients to Manufacturer Drug program as needed for medications.
Greet patients and resolve procedures and problems.
Gather necessary documentation to support proper handling of inquiries and complaints.
Assist with policy and procedure as required.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requested and resolve coverage issues.
Knowledge, Skills and Abilities
Excellent communication skills, oral and written.
Ability to analyze relationships with patients, physicians, co‑workers and supervisors; 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 accurate in accordance with established business processes or regulation.
Requires working knowledge of compliance principles. Job allows 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
No specific requirements.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, 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 collaboration that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. All members of the 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 reasonable accommodation will be provided by each hiring department.
Seniority Level Entry level
Employment Type Contract
Job Function Finance and Sales
Industry Hospitals and Health Care
Referrals increase your chances of interviewing at Duke University Health System by 2x.
#J-18808-Ljbffr
About Duke Health's Patient Revenue Management Organization
We are driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Duke Health’s Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential revenue functions.
Duke Radiation Oncology
Financial Care Counselor
Work hours : First shift
DUHS Commitment Bonus Program: $5,000.00 (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 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.
Responsibilities
Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies.
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 for government funding sources.
Analyze insurance coverage and benefits for service to ensure timely submissions.
Obtain authorizations based on payment 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 according to PRMO credit and collection policies.
Collect cash payments appropriately for all patients.
Reconcile daily necessity of third party sponsorship and process patients in accordance with 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 research to determine appropriate source of liability/payment.
Admit, register and pre‑register patients with accurate demographic and financial data.
Resolve insurance claim rejections/denials and remedy expediently.
Evaluate diagnoses to ensure compliance with 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 and collecting.
Refer for financial counseling.
Determine referral 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 managed‑care waiver forms for patients considered out of network and receiving services at reduced benefit level.
Update billing system to reflect insurance status of the patient.
Refer patients to Manufacturer Drug program as needed for medications.
Greet patients and resolve procedures and problems.
Gather necessary documentation to support proper handling of inquiries and complaints.
Assist with policy and procedure as required.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requested and resolve coverage issues.
Knowledge, Skills and Abilities
Excellent communication skills, oral and written.
Ability to analyze relationships with patients, physicians, co‑workers and supervisors; 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 accurate in accordance with established business processes or regulation.
Requires working knowledge of compliance principles. Job allows 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
No specific requirements.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, 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 collaboration that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. All members of the 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 reasonable accommodation will be provided by each hiring department.
Seniority Level Entry level
Employment Type Contract
Job Function Finance and Sales
Industry Hospitals and Health Care
Referrals increase your chances of interviewing at Duke University Health System by 2x.
#J-18808-Ljbffr