Financial Care Counselor - DRAH (Midtown) (257291)
Financial Care Counselor - DRAH (Midtown) (257291)
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Job Description
At Duke Health were 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 Healths Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization which is Duke Healths 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 Raleigh Midtown Specialty Rehab
Financial Care Counselor
Hours Availability: 6:30am - 5:30pm Shift Hours vary based on dept needs
Location: 5920 Sandy Forks Rd Raleigh NC 27609
This is a front facing position.
*** 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.
Duke University Health System - Patient Revenue Management Office (PRMO)seeks to hire aFinancial Care Counselorwho 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 patients 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 Associates degree in a healthcare related field and one year of experience working with the public. Or a Bachelors 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 individuals 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. Our collective success depends onthe robust exchange of ideasan exchange that is best when the rich diversity of our perspectives backgrounds and experiences flourishes. To achieve this exchange it is essential that all members of the community feel secure and welcome that the contributions of all individuals are respected and that all voices are heard. All members of our community have a responsibility to uphold these values.
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.
Employment Type
Full-Time
