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Financial Care Specialist
1 month ago
Duke University Health System is seeking a skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a vital role in ensuring the accurate and efficient processing of patient accounts.
Key Responsibilities- Analyze insurance coverage and benefits to ensure timely processing of patient accounts.
- Obtain authorizations and document billing information in our system.
- Explain bills and provide assistance to patients and visitors.
- Calculate and apply credits and collections in accordance with PRMO policies.
- Implement cash payment options and reconcile daily third-party sponsorship.
- Obtain prior authorization certifications and facilitate payment sources for uninsured patients.
- Resolve insurance claim rejections and denials in a timely manner.
- Evaluate diagnoses to ensure compliance with Local Medicare Review Policy.
- Perform various duties to ensure accurate and efficient processing of patient accounts.
- Excellent communication and analytical skills.
- Ability to work independently and as part of a team.
- Knowledge of compliance principles and regulatory agencies.
- Two years of experience in hospital service access, clinical service access, physician office, or billing and collections.
- Associate's degree in a healthcare-related field and one year of experience working with the public.
- Bachelor's degree and one year of experience working with the public.
Duke University Health System is committed to providing a comprehensive benefits package that includes competitive salaries, comprehensive health insurance, and retirement savings plans. We also offer opportunities for professional growth and development, as well as a dynamic and inclusive work environment.
We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.