Financial Care Counselor

14 hours ago

Wake Forest, United States Duke Health Full time

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.

About Duke Health's Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's 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.

Duke Raleigh Heritage

Financial Care Counselor

Work hours:Monday - Friday 8:30 - 5:00pm


*** DUHS Commitment Bonus Program $5000.00 (paid in 2 installments over 12 months - 6 month increments) ***

* Only new hires who have not worked for Duke University in the past 12 months (at the time of offer) are eligible to receive the commitment bonus.

Duke University Health System - Patient Revenue Management Office (PRMO)seeks to hire aFinancial Care Counselorwho will embrace our mission of Advancing Health Together.

Accurately complete 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.

Ensure all insurance requirements are met prior to patients' arrival and inform patients of their financial liability prior to arrival for services. Arrange payment options with the patients and screens patients for government funding sources.

Work Performed

  • 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

Knowledge, Skills and Abilities

  • Excellent communication skills, oral and written.
  • Ability to analyze relationships with patients, physicians, co-workers and supervisors. data, perform multiple tasks and work independently.
  • Must be able to develop and maintain professional, service-oriented working,
  • Must be able to understand and comply with policies and procedures.

Level Characteristics

  • Position responsible for high production generated accurately in accordance with established business processes or regulation.
  • Requires working knowledge of compliance principles. Job allows the opportunity to work independently.

MINIMUM QUALIFICATIONS

Education

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.

Experience

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.

Degrees, Licensures, Certifications

None required

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

PDN-9dea8164-e63d-45ee-9e6e-9d60240437fc

  • Financial Care Counselor

    5 hours ago

    Wake Forest, United States Dukehealth.org Full time

    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. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue...

  • Geriatric Care Counselors Sought

    1 week ago

    Wake Forest, North Carolina, United States LifeSource, Inc. Full time

    About the PositionWe are seeking Geriatric Care Counselors to join our team at LifeSource, Inc.In this role, you will provide mental health services to residents in assisted living, long-term care, rehab, and skilled nursing facilities.You will have the opportunity to work closely with our experienced clinicians and contribute to the success of our...

  • Licensed Clinical Counselors Sought

    1 week ago

    Wake Forest, North Carolina, United States LifeSource, Inc. Full time

    About LifeSource, Inc.:We are a successful, established, and growing multi-specialty health services company with practices located throughout the USA. Our mission is to improve the quality of life for the geriatric population.Job Description: We are seeking licensed clinical counselors, psychologists, and social workers to join our team in providing onsite...

  • Camp Counselor

    2 months ago

    Wake Forest, United States Camp Bow Wow Wake Forest (Pawsitive Ventures LLC) Part time

    Job DescriptionJob DescriptionCamp Bow Wow – Wake Forest is looking to hire a full or part time Camp Counselor that will be focused primarily on opening shifts! Camp Bow Wow is the nation’s premier dog boarding and daycare provider. With over 220 locations nationally and growing, Camp Bow Wow is the largest pet care franchise in the United States. About...

  • Licensed Professional Counselor

    6 days ago

    Wake Island, United States Headway Full time

    Licensed Professional Counselor at Headway summary: A Remote Licensed Professional Counselor (LPC) can launch or expand their private practice with support from Headway, a platform designed to enhance access and affordability in mental healthcare. Headway facilitates hassle-free insurance acceptance, billing, and administrative tasks, allowing counselors to...

  • Licensed Professional Counselor

    6 days ago

    Wake Island, United States Headway Full time

    Licensed Professional Counselor (Virtual) at Headway summary: The Licensed Professional Counselor (Virtual) provides mental health services remotely, facilitating therapy sessions and medication management while maintaining flexible scheduling. By leveraging the resources offered by Headway, counselors can manage their practices more efficiently with...

  • Licensed Mental Health Counselor

    6 days ago

    Wake Island, United States Headway Full time

    Licensed Mental Health Counselor at Headway summary: The Licensed Mental Health Counselor (LMHC) offers remote mental health services, assisting clients through psychotherapy and medication management. The role enables flexible scheduling and practice growth with support in insurance credentialing, billing, and marketing through Headway's network. This...

  • Licensed Mental Health Counselor

    6 days ago

    Wake Island, United States Headway Full time

    Licensed Mental Health Counselor (Virtual) at Headway summary: The Licensed Mental Health Counselor (LMHC) role focuses on providing virtual psychotherapy and medication management while supporting patients and clinicians through streamlined processes. This position allows flexibility in scheduling and the opportunity to grow a private practice with...

  • Mental Health Professionals Wanted

    2 weeks ago

    Wake Forest, North Carolina, United States LifeSource, Inc. Full time

    About the JobWe are seeking highly skilled Mental Health Professionals to join our team at LifeSource, Inc.As a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Clinical Mental Health Counselor (LCMHC), you will provide mental health services to residents in assisted living, long-term care, rehab, and skilled nursing...

  • Financial Leadership Role: Tax Manager

    1 week ago

    Wake Forest, North Carolina, United States Care Dynamics, LLC Full time

    Job OverviewWe are seeking a seasoned Tax Manager to join our Private Client Services team at Care Dynamics, LLC.

  • Child Care Attendant/ Camp Counselor

    3 hours ago

    Wake Forest, United States Clubcorp Usa Incorporated Full time

    Job Description We are Invited. At Invited Clubs , work feels like play as you build relationships with your team and meet Members from all different backgrounds. Every time you step foot in your Club, you can create magic moments and enrich lives. We are passionate about bringing people together and bringing out the very best in life. So, join us and be a...

  • Child Care Attendant/ Camp Counselor

    6 hours ago

    Wake Forest, United States ClubCorp Full time

    Job DescriptionWe are Invited. At Invited Clubs, work feels like play as you build relationships with your team and meet Members from all different backgrounds. Every time you step foot in your Club, you can create magic moments and enrich lives. We are passionate about bringing people together and bringing out the very best in life. So, join us and be a...

  • Financial Services Senior Professional

    3 weeks ago

    Wake Forest, North Carolina, United States Care Dynamics, LLC Full time

    About the RoleA challenging opportunity for a Tax Manager to provide exceptional service to a diverse range of business corporations, demonstrating technical competence in specialty expertise (Income tax, Compliance, and Planning), managing engagements/assignments profitably.Key ResponsibilitiesProvide outstanding service to clients in accordance with firm...

  • Clinical Psychologists and Social Workers Required

    2 weeks ago

    Wake Forest, North Carolina, United States LifeSource, Inc. Full time

    About LifeSource, Inc. and This Opportunity:We are a leading provider of mental health services to seniors in rural communities. Our team of experienced clinicians provides high-quality care to individuals in need. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of others.Job Summary: LifeSource, Inc. is...

  • Tax Professional

    1 month ago

    Wake Forest, North Carolina, United States Care Dynamics, LLC Full time

    Job SummaryCare Dynamics, LLC is seeking a seasoned Tax Manager to join our Private Client Services team.This role offers early access to a prestigious opportunity within a leading accounting and professional consulting firm.Key Responsibilities:Provide exceptional client service to high net worth individuals, executives, and business owners.Demonstrate...

  • Mental Health Professionals Needed

    19 hours ago

    Wake Forest, North Carolina, United States LifeSource, Inc. Full time

    Job Title: Mental Health Professionals NeededLocation: Wake Forest, NCWe are seeking licensed clinical counselors, psychologists, and social workers to join our team at LifeSource, Inc. in Wake Forest, NC. As a mental health professional with LifeSource, you will have the opportunity to provide onsite mental health services to residents living in assisted...

  • Childcare Attendant/Summer Camp Counselor

    1 month ago

    Wake Forest, United States ClubCorp Full time

    Job DescriptionWe are Invited. At Invited Clubs, work feels like play as you build relationships with your team and meet Members from all different backgrounds. Every time you step foot in your Club, you can create magic moments and enrich lives. We are passionate about bringing people together and bringing out the very best in life. So, join us and be a...

  • LCMHC Licensed Clinical Mental Health Counselors

    13 hours ago

    Wake Forest, United States LifeSource, Inc. Part time

    Job DescriptionJob DescriptionLCSW- LCMHC-LPC- Psychologists Needed for the Wake Forest, NC practice...Work for an organization that is passionate about quality care and providing a thoughtful approach to improving the lives of the geriatric community. Our clinicians provide onsite mental health services to residents living in assisted living, long term...

  • General Dentist

    2 months ago

    Wake Forest, United States Forestville Road Dental Care Full time

    General Dentist Opportunity in Wake Forest, NC At Forestville Road Dental Care, we take pride in offering a unique dental experience that is tailor-made for the community we serve. As a distinguished member of the Heartland Dental supported offices, we stand committed to providing exceptional care with the full support of our dedicated practice manager, a...

  • General Dentist

    4 weeks ago

    Wake Forest, United States Forestville Road Dental Care Full time

    General Dentist Opportunity in Wake Forest, NC At Forestville Road Dental Care, we take pride in offering a unique dental experience that is tailor-made for the community we serve. As a distinguished member of the Heartland Dental supported offices, we stand committed to providing exceptional care with the full support of our dedicated practice manager, a...