Financial Care Counselor - DRH Admissions

Duke PA; Durham (NC); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Commitment bonus Program $5,000

Job summary

Duke Regional Hospital, part of Duke University Health System, seeks a Financial Care Counselor to support the DRH Admissions team. You will verify insurance, explain patient financial responsibilities, arrange payment options, and guide patients through pre-admission and registration processes.

The role emphasizes accurate data entry, coordination with insurers, and adherence to ap- plicable policies, while helping patients secure needed financial assistance.

Qualifications

• Excellent communication skills, both oral and written.
• Ability to analyze relationships among patients, physicians, and staff; manage data and multitask.
• Ability to understand and follow policies and procedures.
• Customer service mindset with financial counseling experience is a plus.

Responsibilities

• Analyze insurance coverage and benefits to ensure timely processing.
• Obtain authorizations and verify payment arrangements.
• Document billing data accurately in the system.
• Explain bills and assist patients with questions and payments.
• Guide patients to financial counseling and payment options.
• Advance compliance with regulatory requirements in patient accounts.
• Enter and update referrals and communicate with insurers as needed.

Skills

Excellent communication

Analytical reasoning

Attention to detail

Independent working

Education

High school education or equivalent

Some postsecondary education preferred

Associate's degree in healthcare or related field

Bachelor's degree in healthcare or related field

Job description

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Financial Care Counselor - DRH Admissions

Work Arrangement:

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

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.

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.

Duke Regional Hospital ED

Financial Care Counselor

Work hours: Monday – Friday 5:00a – 1:30p

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.

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 patient's 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 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.

Degrees, Licensures, Certifications

None required

Duke is an Equal Opportunity Employer committed to providing employment opportunity 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. Our collective success depends on the robust exchange of ideas—an 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.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an 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.

Nearest Major Market: Durham

Nearest Secondary Market: Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.