Financial Care Counselor - PT​/OT N. Duke

Financial Care Counselor - PT/OT N. Duke Street

Join to apply for the Financial Care Counselor - PT/OT N. Duke Street role at Duke University Health System
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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.

Our fully integrated, centralized revenue cycle organization supports the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential revenue functions.

• 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 are eligible.

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.

• 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 and provide assistance to visitors and patients.
• Explain policies and departmental coverage as requested.
• Calculate and apply PRMO credit and collection policies.
• Implement appropriate collection of cash payments 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 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 handle procedures, and resolve problems.
• Gather necessary documentation to support proper handling of inquiries and complaints.
• Assist with accordance 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.

• Excellent communication skills, oral and written.
• Ability to analyze relationships with patients, physicians, co-workers and supervisors; and perform multiple tasks independently.
• Must be able to develop and maintain professional, service-oriented working relationships.
• Must be able to understand and comply with policies and procedures.

• Position responsible for high production generated accurately in accordance with established business processes or regulations.
• Requires working knowledge of compliance principles. Job allows the opportunity to work independently.

Work requires…