Financial Care Counselor - DRAH Outpatient Rehab

Duke University - Raleigh, NC

Full-time - Entry Level

Raleigh, NC

Educational Services

About the position

The Financial Care Counselor at Duke Health's Patient Revenue Management Organization plays a crucial role in ensuring accurate patient account management and financial counseling. This front-facing position involves working directly with patients to explain their financial responsibilities, arrange payment options, and assist with insurance coverage and authorizations. The counselor is responsible for maintaining compliance with departmental protocols and regulatory requirements while providing compassionate care to patients and their families.

Responsibilities

• Accurately complete patient accounts based on departmental protocol, policies, and procedures.
• Ensure all insurance requirements are met prior to patients' arrival and inform patients of their financial liability.
• Arrange payment options with patients and screen for government funding sources.
• Analyze insurance coverage and benefits to ensure timely service.
• Obtain authorizations based on insurance plan contracts and guidelines.
• Document billing system and explain bills to patients and visitors.
• Calculate and collect cash payments appropriately for all patients.
• Reconcile daily necessity of third-party sponsorship and process patients in accordance with reimbursement policies.
• Obtain all prior authorization certifications as appropriate.
• Facilitate payment sources for uninsured patients.
• Determine if a patient's condition is the result of an accident and research appropriate sources of liability/payment.
• Admit, register, and pre-register patients with accurate demographic and financial data.
• Resolve insurance claim rejections/denials expediently.
• Compile departmental statistics for budgetary and reporting purposes.
• Make referrals for financial counseling as needed.

Requirements

• High school education with some postsecondary education preferred.
• Two years of experience 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.

Nice-to-haves

• Working knowledge of compliance principles
• Excellent communication skills, both oral and written
• Ability to analyze relationships with patients, physicians, co-workers, and supervisors
• Ability to perform multiple tasks and work independently

Benefits

• DUHS Commitment Bonus Program of $5000.00 paid in 2 installments over 12 months for new hires who have not worked for Duke University in the past 12 months.