Financial Care Counselor
5 days ago
Duke 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 Responsibilities- Analyze insurance coverage and benefits to ensure timely payment.
- Obtain authorizations based on insurance plan contracts and guidelines.
- Document billing system and explain bills to patients.
- Explain policies and departmental coverage as requested.
- Calculate and apply PRMO credit and collection policies.
- Implement appropriate cash payments for all patients.
- Reconcile daily necessity of third-party sponsorship and process patients in accordance with reimbursement.
- Obtain all Prior Authorization Certification 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.
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Financial Care Counselor
2 days ago
Durham, North Carolina, United States Duke University Full timeFinancial Care Counselor Job DescriptionDuke University Health System's Patient Revenue Management Office (PRMO) is seeking a 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 accounts are processed efficiently and...
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Financial Care Counselor Specialist
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Durham, North Carolina, United States Duke University Full timeAbout the RoleWe are seeking a highly skilled Financial Care Counselor to join our team at Duke University Health System. As a key member of our Patient Revenue Management Organization, you will play a critical role in streamlining the revenue cycle and ensuring accurate and efficient processing of patient accounts.Key ResponsibilitiesAnalyze insurance...
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Financial Care Counselor
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Durham, North Carolina, United States Duke University Full timeJob SummaryDuke 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...
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Financial Care Counselor
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Durham, North Carolina, United States Duke University Full timeJob SummaryDuke University Health System seeks a Financial Care Counselor to join our Patient Revenue Management Office (PRMO). This role is responsible for accurately completing patient accounts, ensuring all insurance requirements are met, and informing patients of their financial liability prior to arrival for services.Key ResponsibilitiesAnalyze...
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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...
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Durham, North Carolina, United States Duke University Full timeJob Title: Financial Care CounselorDuke 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 financial well-being of our patients and their families.Job Summary:The Financial Care Counselor will be...
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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...
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Financial Care Specialist
5 days ago
Durham, North Carolina, United States Duke Health Full timeJob Title: Financial Care CounselorJob Summary:Duke Health is seeking a highly skilled Financial Care Counselor to join our team. As a key member of our Patient Revenue Management Organization (PRMO), you will play a critical role in ensuring the financial security of our patients and advancing the mission of Duke Health.Key Responsibilities:Analyze...
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Financial Care Specialist
5 days ago
Durham, North Carolina, United States Duke University Full timeJob Title: Financial Care CounselorAt Duke University, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Our Patient Revenue Management Organization is a fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue...
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Financial Care Specialist
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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...
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Financial Care Specialist
1 month 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...
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Financial Care Specialist
1 month 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...
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Financial Care Counselor
1 month 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...
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Financial Care Specialist
1 month 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...
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Financial Care Specialist
5 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...
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Financial Care Specialist
1 week 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 smooth operation of our revenue cycle processes.Key ResponsibilitiesAnalyze patient insurance coverage and benefits to ensure timely authorization...
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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, while providing exceptional customer service to our patients and families.Key...
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Financial Care Specialist
1 month 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...
