Financial Care Specialist

1 week ago


Knightdale, North Carolina, United States Dukehealth Full time

About Duke Health

Duke Health is a leading healthcare organization committed to delivering exceptional patient care and advancing health together. Our team is driven by a passion for compassionate care and a commitment to excellence.

Job Summary

We are seeking a highly skilled Financial Care Specialist 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 benefits to ensure timely and accurate billing.
  • Obtain authorizations and process payments in accordance with insurance plan contracts and guidelines.
  • Document billing system and reconcile daily transactions.
  • 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 transactions.
  • Resolve insurance claim rejections and denials in a timely manner.
  • Evaluate diagnoses to ensure compliance with Local Medicare Review Policy.
  • Perform other duties as necessary to ensure accurate and efficient processing of patient accounts.

Requirements

  • 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.

Preferred Qualifications

  • Working knowledge of compliance principles.
  • Excellent communication and analytical skills.
  • Ability to work independently and as part of a team.

What We Offer

  • A competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A collaborative and supportive work environment.

How to Apply

Interested candidates should submit their application, including a cover letter and resume, to [insert contact information].



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