Financial Care Counselor
2 days ago
Duke University is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management team. As a Financial Care Counselor, you will play a critical role in ensuring that patients receive accurate and timely financial information, and that their financial needs are met. This is an excellent opportunity to work in a dynamic and patient-centered environment, and to make a meaningful contribution to the health and well-being of our patients.
Key Responsibilities- Analyze insurance coverage and benefits for services to ensure timely and accurate billing.
- Obtain authorizations based on insurance plan contracts and guidelines.
- Document billing system and ensure accurate and timely payment processing.
- Explain bills and provide assistance to patients and visitors.
- Explain policies and departmental coverage as requested.
- Calculate and apply PRMO credit and collection policies.
- Implement appropriate collection actions and arrange payment options with patients.
- Reconcile daily necessity of third-party sponsorship and process patients in accordance with reimbursement.
- Obtain all prior authorization certifications 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.
- Excellent communication skills, oral and written.
- Ability to analyze relationships with patients, physicians, co-workers, and supervisors.
- Must be able to develop and maintain professional, service-oriented working relationships.
- Must be able to understand and comply with policies and procedures.
- 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.
- Education: Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
- Experience: Two years experience working in hospital service access, clinical service access, physician office, or billing and collections.
- Degrees, Licensures, Certifications: None required.
-
Financial Care Specialist
5 days ago
Durham, North Carolina, United States Duke Health Full timeJob Title: Financial Care CounselorAbout the Role:Duke Health is seeking a highly skilled Financial Care Counselor to join our team. As a Financial Care Counselor, you will play a critical role in ensuring that patients receive accurate and timely financial information, and that their financial needs are met.Key Responsibilities:Analyze insurance coverage...
-
Financial Care Specialist
4 weeks ago
Durham, North Carolina, United States Duke University Full timeJob Summary: We are seeking a highly skilled Financial Care Counselor to join our team at Duke University. As a key member of our healthcare team, you will be responsible for accurately completing patient accounts based on departmental protocol, policies, and procedures, as well as ensuring compliance with regulatory agencies.Key Responsibilities:Accurately...
-
Financial Care Specialist
3 weeks ago
Durham, North Carolina, United States Duke University Full time{"title": "Financial Care Counselor", "description": "About the RoleDuke University is seeking a skilled Financial Care Counselor to join our Patient Revenue Management Organization. In this role, you will play a critical part in ensuring the financial well-being of our patients and their families.Key ResponsibilitiesAnalyze insurance coverage and benefits...
-
Financial Care Specialist
1 week ago
Durham, North Carolina, United States Duke University Full timeFinancial Care Counselor Job DescriptionDuke University Health System is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key Responsibilities:Analyze insurance coverage and...
-
Financial Care Specialist
4 weeks ago
Durham, North Carolina, United States Duke University Full timeJob Summary:Duke University seeks a skilled Financial Care Counselor to join our team. As a key member of our healthcare financial services team, you will play a critical role in ensuring the accuracy and compliance of patient accounts.Key Responsibilities:Accurately complete patient accounts based on departmental protocol, policies, and procedures, and...
-
Financial Benefits Specialist
2 weeks ago
Durham, North Carolina, United States Duke University Full timeFinancial Care Counselor Role at Duke UniversityWe are seeking a skilled Financial Care Counselor to join our team at Duke University. As a key member of our healthcare team, you will play a critical role in ensuring timely authorization of insurance coverage and benefits for our patients.Key Responsibilities:Analyze insurance coverage and benefits to ensure...
-
Financial Care Specialist
2 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke 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 ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and accurate...
-
Financial Care Specialist
2 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke 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 critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Care Specialist
3 days ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke University Health System is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Care Specialist
2 weeks ago
Durham, North Carolina, United States Duke Health Full timeJob SummaryDuke Health is seeking a skilled Financial Care Counselor to join our Patient Revenue Management Organization (PRMO). As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts, while providing exceptional customer service to our patients and families.Key ResponsibilitiesAnalyze...
-
Financial Care Counselor
2 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke University Health System is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Care Specialist
2 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke University Health System is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Care Specialist
3 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke 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 critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Care Specialist
2 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleWe are seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization at Duke Health. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and accurate...
-
Financial Care Specialist
3 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Financial Care Counselor to join our Patient Revenue Management Organization at Duke University Health System. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts, while providing exceptional customer service to our...
-
Financial Care Specialist
3 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke University Health System is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Care Specialist
3 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke University Health System is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Care Specialist
2 weeks ago
Durham, North Carolina, United States Duke University Full timeAbout the RoleDuke University Health System is seeking a highly skilled Financial Care Counselor to join our Patient Revenue Management Organization. As a key member of our team, you will play a critical role in ensuring the accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance coverage and benefits to ensure timely and...
-
Financial Services Advisor
1 month ago
Durham, North Carolina, United States Duke University Full timeRole OverviewThe Financial Care Counselor serves as a vital Case Manager and acts as a liaison between patients and their respective payer sources, ensuring seamless access to all Duke University Health Care programs.Key ResponsibilitiesFacilitate initial authorizations for services provided by various Duke University Health Care programs.Coordinate with...
-
Patient Financial Services Representative
4 weeks ago
Durham, North Carolina, United States Duke University Full timeRole Overview:As a Financial Care Counselor, you will be responsible for managing patient accounts with precision and adherence to established departmental protocols and regulatory standards.Key Responsibilities:1. Ensure accurate completion of patient accounts, encompassing various stages such as pre-admission, admission, pre-registration, and...
