Financial Care Specialist
1 week ago
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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