Patient Financial Advocate

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

Benefits offered by this job

Commitment Bonus

Job summary

Duke Health in Durham seeks a Financial Care Counselor within the Patient Revenue Management Office (PRMO) to manage patient accounts and insurance coordination. You will verify coverage, collect payments, and assist patients with financial options.

Essential duties include processing registrations, obtaining authorizations, and resolving billing issues while guiding patients through financial counseling. A strong customer service mindset is required for this on-site role.

Qualifications

• Excellent communication skills, oral and written.
• Ability to analyze relationships with patients, physicians, co-workers and supervisors; manage data and multitask.
• Must be able to develop and maintain a professional, service-oriented working environment.
• Must be able to understand and comply with policies and procedures.

Responsibilities

• Analyze insurance coverage and benefits for service to ensure timely processing.
• Obtain authorizations based on insurance plan contracts and guidelines.
• Document billing system and explain bills to patients.
• Explain policies and departmental coverage as requested.
• Calculate and apply PRMO credit and collection policies.
• Implement appropriate cash collections for all patients.
• Reconcile third party sponsorship and process patients per reimbursement rules.
• Obtain all prior authorizations as appropriate.
• Facilitate payment sources for uninsured patients.
• Admit, register and pre-register patients with accurate demographic data.
• Resolve insurance claim rejections/denials promptly.
• Evaluate diagnoses for compliance with local policies.
• Compile departmental statistics for budget and reporting purposes.
• Refer patients to financial counseling as needed.
• Inform attending physician of patient financial hardship.

Skills

Excellent communication

Analytical thinking

Policy compliance

Independent work

Education

High school education

Some postsecondary education preferred

Associate's degree or higher preferred

Job description

Duke Health in Durham seeks a Financial Care Counselor within the Patient Revenue Management Office (PRMO) to manage patient accounts and insurance coordination. You will verify coverage, collect payments, and assist patients with financial options.

Essential duties include processing registrations, obtaining authorizations, and resolving billing issues while guiding patients through financial counseling. A strong customer service mindset is required for this on-site role.