Financial Care Counselor - Duke Health Center; Morreene Rd

Overview

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.

• Analyze insurance coverage and benefits for service to ensure timely reimbursement.
• Obtain all Prior Authorization certifications and/or authorizations as appropriate.
• Facilitate payment sources for uninsured patients and screen patients for government funding sources.
• Admit, register and pre-register patients with accurate patient demographic and financial data.
• Resolve insurance claim rejections/denials and remedy expediently.
• Collect cash payments appropriately for all patients and reconcile daily cash deposits.
• Explain bills according to PRMO credit and collection policies and implement appropriate collection actions.
• Inform patients of financial liability prior to arrival for services and arrange payment options as needed.
• Refer patients for financial counseling and determine necessity of third-party sponsorship.
• Review insurance policies and other third-party sponsorship materials for sources of payment; update billing systems to reflect insurance status.
• Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage and payment.
• Assist with department coverage as requested and document billing system activity according to policy and procedure.

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

• Position is expected to produce high volumes accurately in accordance with established processes or regulations.
• Requires working knowledge of compliance principles and the ability to work independently.

• Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and 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 — all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical

Job Functions:

Some positions may require specific physical and/or mental abilities. Additional information and provision for reasonable accommodation will be provided by each hiring department.

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.

Two years of 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 with one year of experience; or a Bachelor’s degree with one year of experience working with the public.

None required