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Financial Services Liaison
2 months ago
At Duke Health, we are dedicated to providing empathetic care that transforms the lives of patients, their families, and the broader community.
About Duke HomeCare & Hospice
Embrace your passion for caregiving with Duke HomeCare & Hospice, which delivers hospice, home health, and infusion services throughout the region, while also supporting the Duke Caregiver Support Program. Our team collaborates closely with a patient's healthcare provider to deliver thorough, personalized care in the comfort of their home or at our inpatient hospice facility.
POSITION SUMMARY
The Financial Care Counselor acts as a case manager and liaison between the patient's insurance provider and all Duke HomeCare & Hospice programs, including Home Health, Hospice, and Infusion services. This role is crucial for securing initial authorizations for services provided by these programs. Should re-authorization be necessary for continued services, the Financial Care Counselor will also facilitate this process. This position is vital in ensuring that Duke HomeCare & Hospice receives payment for the services rendered when claims are submitted to the insurance provider. The ability to work independently is essential.
POSITION RELATIONS
Reports to: Manager, Business Development
POSITION RESPONSIBILITIES:
- Maintains patient confidentiality in accordance with HIPAA regulations.
- Secures authorizations based on insurance plan agreements and protocols.
- Records information in billing systems following established policies and procedures.
- Engages with insurance providers and Duke HomeCare & Hospice programs to gather clinical information needed for authorization.
- Addresses issues related to obtaining authorizations from insurance providers to ensure services can be delivered.
- Informs the manager of any concerns regarding authorizations.
- Communicates any IT-related issues to the manager.
- Generates the authorization expiration report in billing systems and alerts programs regarding the need for potential additional authorizations.
- Completes special projects and other duties as assigned.
Education
Knowledge of basic grammar and mathematical principles typically acquired through a high school education, with some postsecondary education preferred. Additional training or practical experience in a related business field is advantageous.
Experience
Two years of experience in hospital service access, clinical service access, physician office, or billing and collections. Alternatively, an Associate's degree in a healthcare-related field with one year of public-facing experience, or a Bachelor's degree with one year of public-facing experience.
Degrees, Licensure, and/or Certification
No specific requirements
Knowledge, Skills, and Abilities
Strong communication skills, both verbal and written. Ability to analyze data, manage multiple tasks, and work independently. Must establish and maintain professional, service-oriented relationships with patients, healthcare providers, colleagues, and supervisors. Must comprehend and adhere to policies and procedures.
Distinguishing Characteristics of this Level
This position is responsible for producing high-quality work in compliance with established business processes and regulations. Requires a solid understanding of compliance principles and offers the opportunity for independent work.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunities 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.
Duke aims to foster a community built on collaboration, innovation, creativity, and belonging. Our collective success relies on the rich exchange of ideas, which flourishes best when diverse perspectives, backgrounds, and experiences are valued. To achieve this, it is crucial that all community members feel secure and welcomed, that individual contributions are respected, and that all voices are acknowledged. Every member of our community shares the responsibility to uphold these values.
Essential Physical Job Functions: Certain roles at Duke University and Duke University Health System may involve essential job functions that require specific physical and/or mental capabilities. Further information and provisions for reasonable accommodation will be provided by each hiring department.
