Patient Financial Services Representative

2 weeks ago


Raleigh, North Carolina, United States Duke University Health System Full time

About Duke University Health System

Duke University Health System (DUHS) is a leading healthcare provider dedicated to delivering exceptional patient care and enhancing the overall patient experience. Our organization focuses on optimizing the revenue cycle through effective management of various operational aspects.

Position Overview

The Financial Care Counselor plays a crucial role in our mission of advancing health together. This position involves accurately managing patient accounts in accordance with established protocols and regulatory compliance.

Key Responsibilities

  • Conduct thorough analysis of insurance coverage and benefits to ensure timely service delivery.
  • Obtain necessary authorizations based on insurance plan guidelines.
  • Document and maintain accurate records within the billing system.
  • Provide clear explanations of bills and assist patients and visitors with inquiries.
  • Implement appropriate collection strategies while adhering to credit and collection policies.
  • Facilitate payment arrangements for patients and identify potential government funding sources.
  • Assist uninsured patients in exploring available payment options.
  • Conduct comprehensive research to determine liability/payment sources for accident-related conditions.
  • Ensure accurate admission, registration, and pre-registration of patients.
  • Resolve insurance claim denials efficiently and ensure compliance with relevant policies.

Qualifications

Applicants should possess a high school diploma, with additional education preferred. A minimum of two years of experience in healthcare service access, billing, or collections is required. Candidates with an Associate's degree in a healthcare-related field and relevant experience will also be considered.

Skills and Abilities

Successful candidates will demonstrate excellent communication skills, both verbal and written, and the ability to analyze complex information. The role requires the ability to work independently while maintaining a service-oriented approach.

Diversity and Inclusion

Duke University Health System is committed to fostering a diverse and inclusive workplace. We believe that a rich diversity of perspectives and experiences enhances our collective success.

Physical Requirements

Certain positions may require specific physical and/or mental abilities. Further information regarding reasonable accommodations will be provided by the hiring department.



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