Financial Care Specialist
1 week ago
We 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 smooth operation of our revenue cycle processes.
Key Responsibilities- Analyze patient insurance coverage and benefits to ensure timely authorization and payment.
- Process patient accounts accurately and efficiently, adhering to departmental protocols.
- Explain policies and procedures to patients, including PRMO credit and election policies.
- Implement insurance plan contracts and guidelines, and document billing systems.
- Assist patients with arranging payment and make referrals for compliance with regulatory agencies.
- Screen patients for government funding policies and procedures, and inform patients of their financial liability.
- Reconcile daily third-party sponsorship and process reimbursement.
- Obtain Prior AuthorizationCertification and/or authorizations as appropriate.
- Determine policy accurately and efficiently, and resolve insurance claim rejections/denials.
- Compile departmental statistics for reporting purposes.
- High school education with some postsecondary education preferred.
- Two years of experience working 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 Health 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.
We strive 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.
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