Financial Care Counselor

Financial Care Counselor - Duke Health

Join Duke Health, a leader in compassionate care. This role focuses on supporting the Patient Revenue Management Organization—a fully integrated, centralized revenue cycle that streamlines scheduling, registration, coding, billing, and other essential revenue functions.

The Financial Care Counselor accurately completes patient accounts, adheres to regulatory compliance, and ensures patients are informed of financial responsibilities before services.

• Accurately complete patient accounts based on departmental protocol, policies, and procedures, and enforce regulatory compliance for all pre‑admission, admission, pre‑registration, and registration functions.
• Ensure all insurance requirements are met before patients’ arrival and inform patients of their financial liability prior to service.
• Analyze insurance coverage and benefits to ensure timely reimbursement, obtain prior authorization certifications, and obtain necessary authorizations as appropriate.
• Facilitate payment sources for uninsured patients, determine if the patient’s condition is the result of an accident, and perform research to identify liability/payment sources.
• Admit, register, and pre‑register patients with accurate demographic and financial data; resolve insurance claim rejections/denials and remedy them expediently.
• Calculate and collect cash payments for all patients, reconcile the daily cash deposit, and evaluate diagnoses for Medicare Review Policy compliance.
• Compile departmental statistics for budgetary and reporting purposes, explain bills according to PRMO credit and collection policies, and implement appropriate collection actions.
• Determine necessity of third‑party sponsorship, process patients per policy, and examine insurance policies for payment sources.
• Inform physicians of patients’ financial hardship, complete managed care waiver forms when required, and update the billing system to reflect insurance status.
• Refer patients to the Manufacturer Drug program as needed, greet and assist visitors and patients, explain policies, resolve problems, and gather documentation for inquiries and complaints.
• Obtain authorizations based on insurance plan contracts, document billing system updates, and communicate with insurance carriers regarding coverage and payment issues.

Education

• High school education with basic grammar and mathematical principles. Postsecondary education preferred.

Experience

• Two years’ experience in hospital service access, clinical service access, a 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.

Required

Skills and Abilities

• Excellent oral and written communication.
• Ability to analyze data, perform multiple tasks, and work independently.
• Proficiency with professional, service‑oriented relationships with patients, physicians, coworkers, and supervisors.
• Comprehension and compliance with policies and procedures.

Essential Physical Job Functions – Certain jobs require specific physical and/or mental abilities. Requests for reasonable accommodation will be provided by each hiring department.

EEO Statement – Duke is an Equal Opportunity Employer committed to providing employment opportunities 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. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. All members of the community have a responsibility to uphold these values.

Entry Level

Full‑time

Finance and Sales

Raleigh, NC – $53,125.00 – $84,995.00