Financial Care Counselor - Duke Cardiology of Raleigh

Duke•Wake Forest, NC

4d•Onsite

About The Position

Duke Health Integrated Practice is seeking a Financial Care Counselor for Duke Cardiology of Raleigh at 3320 Wake Forest Rd. The role completes patient accounts according to departmental protocols, policies, procedures, and regulatory requirements, including pre-admission, admission, pre-registration, and registration functions. The counselor ensures insurance requirements are met before patients arrive, explains financial liability, arranges payment options, and screens patients for government funding sources. The position also supports billing and work-queue resolution and provides departmental coverage as needed.

Requirements

Knowledge of basic grammar and mathematical principles, normally acquired through a high school education.
Two years of experience in hospital service access, clinical service access, a physician office, or billing and collections; alternatively, 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.
Additional training or working knowledge of related business.

Nice To Haves

Some postsecondary education is preferred.

Responsibilities

Obtain prior authorization or pre-certification for clinic and cath lab procedures as required by insurance carriers and PDC guidelines.
Verify insurance coverage and inform patients of their financial liability.
Arrange payment options for patients who are financially liable.
Pre-register patients using accurate demographic and financial information.
Contact patients in advance when insurance is not listed and create estimates.
Document all patient communications properly.
Resolve insurance claim denials and rejections, including reviewing the monthly denial list to identify billing or denial issues.
Calculate and collect patient payments appropriately.
Resolve assigned work-queue and claim edits.
Inform the attending physician of patient financial hardship and keep providers updated regarding peer-to-peer requests.
Update billing-system account notes and referrals to reflect patients’ current insurance status.
Reconcile billing and work-queue issues as needed.
Provide departmental coverage, including referrals, recalls, order work queues, no-show lists, in-basket messages, answering calls through the Cisco phone system, and front-desk check-in and check-out.
Gather information and documentation to support proper handling of billing inquiries and complaints.
Manage cash and close out other employees’ cash daily.