Patient Financial Counselor

Financial Care Counselor

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.

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Job Location

Mebane Otolaryngology 480 Gregory Poole Lane

Job Summary

We are seeking a Financial Care Counselor to accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions. 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/or local charity care.

Job Duties and Responsibilities

• Obtain prior authorizations/precertification for clinic and procedures as required by insurance carriers as needed according to PRMO guidelines.
• Obtain insurance certifications, and inform patients of their financial liability.
• Assists with department coverage as needed.
• Handles cash management.
• Resolve work queue edits, and resolve insurance claims denials and rejections.
• Prescreen self-pay patients the day before to ensure and receive accurate patient demographics and insurance requirements are met and inform them of their financial liability prior to patient's arrival.
• Facilitate payment sources for uninsured patients.
• Set up payment arrangements for patients with outstanding self-pay balances.
• Inform attending physician of patient financial hardship.
• Gathers necessary documentation to support proper handling of inquiries and complaints.

Job Eligibility Requirements

• 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.
• 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.
• Understanding of billing, insurance plan requirements and pre-authorization procedures.
• EPIC experience in billing, insurance, scheduling and pre-authorization preferred.
• Excellent communication skills, oral and written.
• Ability to analyze data, perform multiple tasks and work independently.
• Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors.
• Must be able to understand and comply with policies and procedures.

Job Hours

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan 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.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job 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.