Healthcare Financial Counselor

Duke Clinical Research Institute; Durham (NC); On-site; USD 35,000 - 55,000; Full time

Job summary

Duke Health is seeking a Patient Accounts professional to accurately complete patient accounts and ensure insurance requirements are met before service. The role involves facilitating payment options, screening for government funding sources, and resolving insurance denials in a timely manner.

The position requires strong communication, data analysis, and the ability to work independently within a regulated revenue cycle environment.

Qualifications

• High school education with some postsecondary education preferred.
• Two years' experience in hospital service access, clinical service access, physician office or billing and collections.
• Associate's degree in a healthcare related field and one year of experience, or Bachelor's degree and one year of experience.

Responsibilities

• Accurately complete patient accounts based on departmental protocol, policies and procedures.
• 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.
• Analyze insurance coverage and benefits for service to ensure timely reimbursement.
• Obtain all Prior Authorization Certification and/or authorizations as appropriate.
• Refer patients to the Manufacturer Drug program as needed for medications.
• Explain bills according to PRMO credit and collection policies.

Skills

Excellent communication skills

Data analysis

Multitasking

Independent work

Education

High school education

Some postsecondary education

Job description

Duke Health is seeking a Patient Accounts professional to accurately complete patient accounts and ensure insurance requirements are met before service. The role involves facilitating payment options, screening for government funding sources, and resolving insurance denials in a timely manner.

The position requires strong communication, data analysis, and the ability to work independently within a regulated revenue cycle environment.