Financial Care Counselor - DUH Periop

Duke Careers•Durham, NC

5d•Onsite

About The Position

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. This role is responsible for accurately completing 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. The Financial Care Counselor ensures all insurance requirements are met prior to patients' arrival and informs patients of their financial liability prior to arrival for services. They also arrange payment options with patients and screen patients for government funding sources.

Requirements

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.
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.

Nice To Haves

Some postsecondary education preferred.

Responsibilities

Analyze insurance coverage and benefits for service to ensure timely.
Obtain authorizations based payment on insurance plan contracts and guidelines.
Document billing system.
Explain bills provides assistance to visitors and patients.
Explain policies and departmental coverage as requested.
Calculate and according to PRMO credit and collection policies.
Implement appropriate collect cash payments appropriately for all patients.
Reconcile daily necessity of third party sponsorship and process patients in accordance reimbursement.
Obtain all Prior Authorization Certification and/or authorizations as appropriate.
Facilitate payment sources for uninsured patients.
Determine if patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment.
Admit, register and pre-register patients with accurate patient demographic and financial data.
Resolve insurance claim rejections/denials and remedy expediently.
Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Perform those duties necessary to ensure all accounts are processed accurately and efficiently.
Compile departmental statistics for budgetary and reporting purposes.
Collection actions and assist financially responsible persons in arranging payment.
Make referral for financial counseling.
Determine with policy and procedure.
Examine insurance policies and other third party sponsorship materials for sources of payment.
Inform attending physician of patient financial hardship.
Complete the managed care waiver form for patients considered out of network and receiving services at a reduced benefit level.
Update the billing system to reflect the insurance status of the patient.
Refer patients to the Manufacturer Drug program as needed for medications.
Greet and procedures, and resolves problems.
Gathers necessary documentation to support proper handling of inquiries and complaints.
Assist with according to policy and procedure.
Enter and update referrals as required.
Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage.