Patient Financial 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. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, the 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 for Duke Health. Financial Care Counselor Work hours: Monday–Thursday, 10:30 PM – 9:00 AM *** DUHS Commitment Bonus Program *** $5,000.00 (paid in 2 installments over 12 months – 6 month increments). Only new hires who have not worked for Duke University in the past 12 months (at the time of offer) are eligible to receive the commitment bonus. Duke University Health System – Patient Revenue Management Office (PRMO) seeks to hire a Financial Care Counselor who will embrace our mission of Advancing Health Together. Work Performed Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, including 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 patients and screen patients for government funding sources. Analyze insurance coverage and benefits for service to ensure timely reimbursement. Obtain authorization‑based payment on insurance plan contracts and guidelines. Document billing system. Explain bills and provide assistance to visitors and patients. Explain policies and departmental coverage as requested. Calculate and apply PRMO credit and collection policies. Implement appropriate cash collection methods for all patients. Reconcile daily necessity of third‑party sponsorship and process patients in accordance with reimbursement. Obtain all prior authorization and certification as appropriate. Facilitate payment sources for uninsured patients. Determine if patient's condition is the result of an accident and perform research to determine the appropriate source of liability/payment. Admit, register, and pre‑register patients with accurate demographic and financial data. Resolve insurance claim rejections/denials and remedy expediently. Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy. Perform duties necessary to ensure all accounts are processed accurately and efficiently. Compile departmental statistics for budgetary and reporting purposes. Assist financially responsible persons in arranging payment. Make referral for financial counseling. Determine policy and procedure compliance. Examine insurance policies and third‑party sponsorship materials for payment sources. Inform attending physician of patient financial hardship. Complete managed care waiver form for patients considered out of network. Update the billing system to reflect patient insurance status. Refer patients to the Manufacturer Drug Program as needed. Greet patients and resolve problems. Gather necessary documentation to support handling of inquiries and complaints. Assist in accordance with policy and procedure. Enter and update referrals as required. Communicate with insurance carriers regarding coverage issues. Knowledge, Skills and Abilities Excellent communication skills, oral and written. Ability to analyze relationships with patients, physicians, co‑workers and supervisors; handle data; perform multiple tasks and work independently. Develop and maintain professional, service‑oriented working relationships. Understand and comply with policies and procedures. Level Characteristics Position responsible for high production generated accurately in accordance with established business processes or regulation. Requires working knowledge of compliance principles. Job allows opportunity to work independently. 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 is beneficial. Experience Two years experience working 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 working with the public. Bachelor's degree and one year of experience working with the public. Degrees, Licensures, Certifications None required. Equal Employment Opportunity 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. #J-18808-Ljbffr