Patient Financial Navigator

Duke University Health System; Durham (NC); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Commitment bonus program

Paid in 2 installments over 12 months

Job summary

Duke University Health System - Patient Revenue Management Office (PRMO) seeks a Financial Care Counselor to manage patient accounts, verify insurance requirements, and arrange payment options while ensuring clear communication of financial responsibilities to patients.

The role emphasizes accuracy, compliance with regulations, and collaboration with insurance carriers to resolve coverage issues and obtain necessary authorizations.

Qualifications

• Excellent communication skills, oral and written.
• Ability to analyze relationships with patients, physicians, and staff and multitask.
• Must adhere to policies and maintain professional, service-oriented standards.
• Basic grammar and math knowledge expected through high school; postsecondary education preferred.

Responsibilities

• Accurately complete patient accounts per departmental protocols and regulatory requirements.
• Ensure insurance requirements are met prior to patient arrival and inform patients of financial liability.
• Arrange payment options with patients and screen for government funding sources.
• Analyze insurance coverage and benefits for timely service.
• Obtain authorizations based on insurance plans and guidelines.
• Document billing activities and assist with inquiries and complaints.
• Explain bills and provide financial counseling as needed.
• Enter and update referrals and communicate with insurers to resolve coverage issues.

Skills

Excellent communication skills

Analytical thinking

Service-oriented

Education

High school education or higher

Some postsecondary education preferred

Associate’s degree + 1 year experience

Bachelor’s degree + 1 year experience

Job description

Duke University Health System - Patient Revenue Management Office (PRMO) seeks a Financial Care Counselor to manage patient accounts, verify insurance requirements, and arrange payment options while ensuring clear communication of financial responsibilities to patients.

The role emphasizes accuracy, compliance with regulations, and collaboration with insurance carriers to resolve coverage issues and obtain necessary authorizations.