Patient Financial Coordinator - Blood Cancer Center

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Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is the 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 for Duke Health.

seeks to hire a Patient Financial Coordinator who will embrace our mission of Advancing Health Together.

The Patient Financial Coordinators (PFCs) are part of a multidisciplinary team charged with the responsibility of providing accurate and professional financial clearance to patients seeking Transplant Services or Chemotherapeutic Services  PFCs are responsible for the analysis, validation and regulatory and compliance activities associated with the financial clearance process. The PFCs mitigate the financial risk to Duke by performing an accurate financial clearance review along with a comprehensive analysis of patient and payor specific benefits and patient liability.

Coordination and communication with the patient, clinical teams including physicians, nurses, social workers and pharmacists is key for the successful financial analysis and clearance.

Work is performed under the direct supervision of the Transplant Financial Services Manager or Financial Services Manager with administrative direction provided by the Administrative Director of Service Access.

Process New Referrals for Evaluation / Insurance Verification/Clinical Coordination:

Analyze, organize, and utilize complex data and rules related to contracting and patient benefits to provide financial clearance; work with DUHS Finance, Managed Care Contracting, Pharmacy assistance programs in the development of agreements for International, self funded patients and patients with limited benefits; interact with Transplant / Oncology Clinical teams (Surgeon, Medical Oncologists, RN Coordinators and Transplant Administration) to obtain treatment plans, discharge planning, concurrent and retrospective review and patient demographics to begin insurance verification process;

interview admitted patients to obtain required information to begin verification; interact with Clinical teams (Surgeon, RN Coordinators and Administration) prior to a patient's financial clearance, providing key information and data regarding benefits, support and patient financial liability; prepare financial packets based on each individual patient's benefits, patient financial interview, and calculated estimated expenses based on patient benefits; share financial screen daily / weekly with the clinical teams at each of their respective meetings;

notify the patient if not financially approved for evaluation at Duke and redirect these patients to the insurance payer's case manager.

Data Maintenance and Billing Information (Transplant specific):

Identify the correct patient in IDX and accurately identify which account is to be used for the visit; update demographic and insurance information in IDX and the transplant database when informed of changes; perform a review of each patient visit to determine if a visit was transplant related in order for accurate billing to occur; communication with the clinicians occurs daily to confirm some visit requirements;

on‑going financial review /analysis, review and analyze patient's eligibility, benefit changes and financial status once a patient is accepted for evaluation and through transplant; patients are followed approximately up to one year post transplant by the PFC; provide weekend and evening coverage for solid organ transplant referrals in an effort to provide timely financial feedback to the surgeons.

Patient Identification / Pre‑registration:

Identify the correct patient in…