Financial Care Counselor - Duke Eye Center Mebane

Duke Careers•Mebane, NC

1d•Onsite

About The Position

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. $5000 Commitment Bonus for qualifying candidates! We are seeking a Financial Care Counselor to accurately completes patient financial and registration activities according to departmental policies, procedures, and regulatory requirements. This position verifies insurance requirements, informs patients of their financial responsibility, assists with payment arrangements and financial assistance options, and supports accurate and timely reimbursement for services.

Requirements

Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
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.
Excellent oral and written communication skills.
Ability to analyze information and data, manage multiple responsibilities, maintain accuracy, and work independently.
Ability to develop and maintain professional, service-oriented working relationships with patients, physicians, coworkers, supervisors, insurance representatives, and other internal and external partners.
Ability to understand, apply, and comply with departmental policies, procedures, regulatory requirements, insurance guidelines, and established business processes.
Working knowledge of compliance principles and the ability to complete a high volume of work accurately and efficiently.

Nice To Haves

Some postsecondary education preferred.

Responsibilities

Analyze patient insurance coverage and benefits for scheduled services to support accurate billing and timely reimbursement.
Obtain prior authorizations, certifications, and other required approvals according to insurance plan contracts and guidelines.
Admit, register, and pre-register patients using accurate demographic, insurance, and financial information.
Review and update the billing system to accurately reflect the patient’s current insurance and financial status.
Determine whether a patient’s condition resulted from an accident and complete appropriate research to identify the responsible source of liability or payment.
Examine insurance policies and other third-party sponsorship information to identify available sources of payment.
Determine whether third-party sponsorship is necessary and process patients according to established policies and procedures.
Facilitate payment resources and financial assistance options for uninsured or underinsured patients.
Calculate, collect, post, and reconcile patient payments accurately.
Reconcile daily cash deposits according to established cash-management procedures.
Explain patient bills, balances, payment expectations, and collection policies according to PRMO credit and collection guidelines.
Implement appropriate collection activities and assist financially responsible individuals with arranging payment options.
Refer patients for additional financial counseling when appropriate.
Inform the attending physician or appropriate clinical team member when a patient reports financial hardship that may affect the planned service.
Refer eligible patients to manufacturer drug assistance programs when medication assistance may be needed.
Complete managed care waiver forms for patients who are out of network or receiving services at a reduced benefit level.
Communicate with insurance carriers regarding requested clinical information, insurance coverage, prior authorization, and payment-related issues.
Resolve insurance claim rejections and denials accurately and as promptly as possible.
Evaluate diagnoses as appropriate to support compliance with applicable Medicare coverage policies.
Enter, update, and maintain referral and authorization information in the billing system according to policy and procedure.
Perform all duties necessary to ensure patient accounts are processed accurately and efficiently.
Compile departmental statistics and reports for operational, budgetary, and reporting purposes.
Greet patients and visitors and provide professional, courteous, and service-oriented assistance.
Explain departmental policies and procedures and assist with resolving patient questions, concerns, inquiries, and complaints.
Gather required documentation to support the appropriate review and resolution of patient inquiries or complaints.
Provide departmental coverage and perform additional job-related duties as requested.