Financial Care Counselor
Work Arrangement : Requisition Number : 247345 Regular or Temporary : Regular Location :
Durham, NC, US, 27710
Personnel Area : PRMO Date : Jul 1, 2024
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.
No matter where your talents lie, join us and discover how we can advance health together.
About Duke Health's Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle.
This includes scheduling, registration, coding, billing, and other essential revenue functions.
PRN position : Saturday-Sunday 12p-630p
This job description intends to provide a representative and educated statement of the total of the specific duties and responsibilities that will be required of positions given this title, including the types of duties, and shall not be construed as knowledge, skills, and abilities for any particular position.
Degrees, Licensure, and / or certification : this description. Required Qualifications : Employees may be directed to perform job-related tasks other than thoseService Access Representative : identifies, admits, schedules, registers and pre-registers patients with accurate patient demographic and financial data.
Meets or exceeds data quality goals.
- Explain all required registration and billing forms and obtain signatures where applicable
- Verifies insurance benefits using our electronic insurance verification system and / or contacts payors via website or phone.
Assign the correct coverage to the patient’s account.
- Completes the Medicare Secondary Payer Questionnaire (MSPQ)
- Collects PO into service payments. Meets or exceeds collection goals.
- stimates for upcoming services when applicable.
- arranges payment plans and offers financial assistance when applicable.
- Reconciles daily cash deposits.
- Performs duties necessary to ensure all accounts are processed efficiently.
- Greets and assists our patients and visitors.
- Exhibitsthe Exhibit the DUHS Values (Excellence, Safety, Integrity, Diversity, and Teamwork) at all times while on duty.
- Explains policies and procedures and resolves problems. Gather the necessary documentation to support the proper handling of inquiries and complaints.
- Explain bills according to PRMO financial assistance policies and resolve claim edits
- Completes a non-covered waiver form for patients considered out of
- Researches denials and remedies expediently. network and receiving services at a reduced benefit level.
- C completes waive for non-authorized services
- Obtain authorizations based on insurance plan contracts; document the billing system according to policy and procedure.
- Enter and update referrals as required.
- Assists with departmental coverage as requested.
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
Additional training or working knowledge in related businesses will be considered. Two years of experience working in hospital service access, clinical service access, Phys icianoffice, or billing and collections, or an Associate's degree in an h healthcare field and one year of experience working with the public , or a Bachelor's degree and one year of experience working with the public, is required.
None required excellent communication skills, oral and in writing. Ability to analyze data, perform multiple tasks work ind.
Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors rs.
Must be able to understand and comply with policies and procedures.Distinguishing Characteristics of this Level : This position is deemed essential .
Essential staff are expected to report to work during inclement weather. This position is responsible for high productivity, generated accurately by established business processes or regulatory requirements.
Bedside registration is performed in the Emergency Department and the inpatient units. This position requires long periods of walking, standing, and sitting.
This position requires a working knowledge of compliance principles. The job provides the opportunity to work independently.
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Minimum Qualifications
Education
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
Additional training or working knowledge of related business.
Experience
Two years experience working in hospital service access, clinical service access, physician office, or billing and collections.
Or an Associate's degree in a healthcare-related field and one year of experience working with the public. Or a Bachelor's degree and one year of experience working with the public.
Degrees, licenses, and certifications
None required
Duke is an Affirmative Action / Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.
To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.
All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions : Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and / or mental abilities.
Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market : Durham
Nearest Secondary Market : Raleigh