Financial Care Counselor - DRAH Outpatient Rehab

Duke University; Raleigh (NC); On-site; USD 40,000 - 55,000; Full time

Job summary

Duke University seeks a Financial Care Counselor to join their Patient Revenue Management Office. This front-facing role involves managing patient accounts, ensuring insurance compliance, and assisting patients with financial inquiries. The ideal candidate will have strong communication skills and experience in healthcare billing.

Benefits

DUHS Commitment Bonus Program $5000

Qualifications

• At least two years of experience in hospital service access or billing and collections.
• An Associate's degree in a healthcare-related field with one year of experience is also acceptable.

Responsibilities

• Analyze insurance coverage and benefits to ensure timely processing.
• Register and pre-register patients with accurate demographic and financial data.
• Facilitate payment sources for uninsured patients.

Skills

Communication

Analytical

Interpersonal Skills

Education

High school diploma or equivalent

Postsecondary education preferred

Job description

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.

Duke Raleigh Outpatient Rehab

Financial Care Counselor - This is a front-facing position

Hours of availability: M-F 6:30am - 5:30pm; main shift 9:00am - 5:30pm. Shift based on Department needs.

*** 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 a Financial Care Counselor who will embrace our mission of Advancing Health Together.

This role involves accurately completing patient accounts based on departmental protocols, policies, procedures, and compliance with regulatory agencies, including 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. Arrange payment options and screen patients for government funding sources.

Work Performed

1. Analyze insurance coverage and benefits to ensure timely processing.
2. Obtain authorizations based on payment on insurance plan contracts and guidelines.
3. Document billing system activities.
4. Explain bills and provide assistance to visitors and patients.
5. Explain policies and departmental coverage as requested.
6. Calculate and process payments according to PRMO credit and collection policies.
7. Implement appropriate cash collection procedures.
8. Reconcile daily sponsorship and reimbursement needs.
9. Obtain all necessary prior authorization certifications.
10. Facilitate payment sources for uninsured patients.
11. Research and determine liability/payment sources for patients injured in accidents.
12. Register and pre-register patients with accurate demographic and financial data.
13. Resolve insurance claim rejections/denials promptly.
14. Evaluate diagnoses for compliance with Medicare policies.
15. Ensure all accounts are processed accurately and efficiently.
16. Compile departmental statistics for reporting and budgeting.
17. Assist with collection actions and payment arrangements.
18. Refer patients for financial counseling as needed.
19. Review insurance policies and third-party sponsorships for payment sources.
20. Inform physicians of patient financial hardships.
21. Complete managed care waiver forms for out-of-network patients receiving reduced benefits.
22. Update billing systems to reflect insurance status.
23. Refer patients to manufacturer drug programs for medications.
24. Greet patients, explain procedures, and resolve problems.
25. Gather documentation to support inquiries and complaints.
26. Enter and update referrals as required.
27. Communicate with insurance carriers regarding clinical information and coverage issues.

Knowledge, Skills, and Abilities

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

Level Characteristics

• Responsible for high-quality, accurate production in accordance with business processes and regulations.
• Requires working knowledge of compliance principles and the ability to work independently.

MINIMUM QUALIFICATIONS

Education

High school diploma or equivalent required; postsecondary education preferred. Additional training or related work experience is a plus.

Experience

At least two years of experience in hospital service access, clinical service access, physician office, or billing and collections. Alternatively, an Associate's degree in a healthcare-related field with one year of experience, or a Bachelor's degree with one year of experience.

Degrees, Licensures, Certifications

None required.

Duke is an Equal Opportunity Employer committed to diversity and inclusion. We encourage all qualified individuals to apply and foster a community built on collaboration, innovation, and respect for all perspectives.

Essential physical and mental job functions may be required; accommodations will be considered.