Healthcare Financial Advocate

Duke Clinical Research Institute; Durham (NC); On-site; USD 42,000 - 56,000; Full time

Job summary

Duke University Health System's Patient Revenue Management Office (PRMO) seeks a Financial Care Counselor to manage pre-admission, pre-registration, and registration processes with emphasis on insurance requirements and patient financial responsibility.

The role requires analyzing coverage, obtaining prior authorizations, and assisting patients with payment arrangements while ensuring compliance with regulatory standards.

Qualifications

• Excellent communication skills, oral and written.
• Ability to analyze relationships with patients, physicians, co-workers and supervisors; manage data, multitask and work independently.
• Understand and comply with policies and procedures.

Responsibilities

• Analyze insurance coverage and benefits to ensure timely processing.
• Obtain authorizations based on insurance plan contracts and guidelines.
• Document billing system and explain bills to visitors and patients.
• Explain policies and departmental coverage to patients as requested.
• Enter and update referrals and communicate with insurance carriers regarding coverage.

Skills

Communication skills

Multitasking

Policy compliance

Interpersonal skills

Education

High school diploma

Associate degree in healthcare

Bachelor's degree

Tools

Billing software

Job description

Duke University Health System's Patient Revenue Management Office (PRMO) seeks a Financial Care Counselor to manage pre-admission, pre-registration, and registration processes with emphasis on insurance requirements and patient financial responsibility.

The role requires analyzing coverage, obtaining prior authorizations, and assisting patients with payment arrangements while ensuring compliance with regulatory standards.