Independent Educational Consultants Association
Financial Care Counselor - Radiation Oncology
Independent Educational Consultants Association, 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 that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.
Duke Radiation Oncology Financial Care Counselor Work hours First shift
DUHS Commitment Bonus Program * 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.
Financial Care Counselor 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 Drug program as needed for medications
Greet and procedures, and resolves problems
Gathers necessary documentation to support proper handling of inquiries and complaints
Assist with according to policy and procedure
Enter and update referrals as required
Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage
Knowledge, Skills and Abilities
Excellent communication skills, oral and written
Ability to analyze relationships with patients, physicians, co-workers and supervisors. data, perform multiple tasks and work independently
Must be able to develop and maintain professional, service-oriented working
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
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.
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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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 Radiation Oncology Financial Care Counselor Work hours First shift
DUHS Commitment Bonus Program * 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.
Financial Care Counselor 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 Drug program as needed for medications
Greet and procedures, and resolves problems
Gathers necessary documentation to support proper handling of inquiries and complaints
Assist with according to policy and procedure
Enter and update referrals as required
Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage
Knowledge, Skills and Abilities
Excellent communication skills, oral and written
Ability to analyze relationships with patients, physicians, co-workers and supervisors. data, perform multiple tasks and work independently
Must be able to develop and maintain professional, service-oriented working
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
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.
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.
#J-18808-Ljbffr