Patient Financial Coordinator - Blood Cancer Center

Duke Careers • Durham, NC

2d

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.
Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is 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.
Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Patient Financial Coordinator who will embrace our mission of Advancing Health Together.

General Description of the Job Class

The Patient Financial Coordinators (PFCs) are part of a multidisciplinary team charged with the responsibility of providing accurate and professional financial clearance to patients seeking Transplant Services or Chemotherapeutic Services at Duke. The PFCs are responsible for the analysis, validation and regulatory and compliance activities associated with the financial clearance process. The PFCs mitigate the financial risk to Duke by performing an accurate financial clearance review along with a comprehensive analysis of patient and payor specific benefits and patient liability. Coordination and communication with the patient, clinical teams including physicians, nurses, social workers and pharmacists is key for the successful financial analysis and clearance.
Work is performed under the direct supervision of the Transplant Financial Services Manager or Financial Services Manager with administrative direction provided by the Administrative Director of Service Access.

Requirements

• High School Diploma required. Advanced degree preferred.
• Three years of healthcare experience with a minimum of one year in insurance verification, authorization, or billing experience required. One year of experience with a transplant or chemotherapy program preferred.
• Position may be subject to membership with the Transplant Financial Coordinators Association (for Transplant team)and may be subject to certification with TFCA.
• Ability to effectively work with professionals and non- professionals in situations of high complexity and high intensity in a positive and professional manner. Taking care to being sensitive in communication with all customers, internal and external, anticipating and striving to reduce levels of stress, fear, concerns and difficulties as it relates to transplant and oncology business services Strong verbal and written communication skills mandatory.
• Ability to analyze data and benefit information
• Ability to calculate patient estimates and liabilities /responsibilities
• Data entry experience
• Basic PC skills
• Medical terminology knowledge
• Knowledge and understanding of telephone etiquette
• Ability to organize and prioritize
• Ability to understand and follow oral and written instructions
• Ability to interact tactfully and courteously with the public
• Ability to apply specific departmental policies, rules and regulations relating to verifying patient information, collecting payments and maintaining records and forms
• Ability to establish and maintain effective relationships with other personnel
• Ability to multitask

Responsibilities

• Process New Referrals for Evaluation / Insurance Verification/Clinical Coordination
• Data Maintenance and Billing Information (Transplant specific)
• Patient Identification / Pre-registration
• Interview Patients / Provide Financial Counseling
• Obtaining Authorization and Prior Approval
• Customer Service
• Case Management (Transplant)
• Perform other related duties incidental to the work described herein.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED