Financial Care Counselor: Patient Billing & Insurance

Duke Clinical Research Institute; Raleigh (NC); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Commitment bonus

Job summary

Duke Health is seeking a Financial Care Counselor at Duke Cardiology of Raleigh to accurately complete patient accounts, verify insurance requirements, and inform patients of financial liability prior to service. The role includes arranging payment options and screening for government funding sources.

The position emphasizes adherence to departmental protocols, policies, and regulatory guidance, with responsibilities spanning pre-admission through registration and billing reconciliation.

Qualifications

• Knowledge of basic grammar and mathematical principles typically acquired through high school education, with some postsecondary education preferred.
• Two years of experience in hospital service access, clinical service access, physician office billing/collections, or an Associate's degree in a healthcare field with one year of public interaction experience.
• Bachelor's degree with one year of public interaction, or equivalent experience.

Responsibilities

• Obtain prior authorization for clinic and cath lab procedures per insurer requirements.
• Obtain insurance verification and inform patients of financial liability; arrange payment options.
• Pre-register patients with accurate demographics and financial data; contact uninsured patients and create estimates.
• Resolve insurance claim denials; review monthly denial list for issues.
• Calculate and collect payments for all patients.
• Resolve appropriate work queues and claim edits.
• Inform attending physicians of financial hardship and update providers on peer-to-peer requests.
• Update billing system notes and referrals to reflect current insurance status.
• Assist with department coverage including referrals, recalls, order workqueues, no-show lists, and front desk duties.

Education

High school diploma or equivalent with some postsecondary education

Healthcare billing knowledge

Job description

Duke Health is seeking a Financial Care Counselor at Duke Cardiology of Raleigh to accurately complete patient accounts, verify insurance requirements, and inform patients of financial liability prior to service. The role includes arranging payment options and screening for government funding sources.

The position emphasizes adherence to departmental protocols, policies, and regulatory guidance, with responsibilities spanning pre-admission through registration and billing reconciliation.