Financial Care Specialist

5 days ago


Durham, North Carolina, United States Duke University Full time
About the Role

Duke 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 benefits to ensure timely processing of patient accounts.
  • Obtain authorizations and document billing information in accordance with established protocols.
  • 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 third-party sponsorship.
  • Obtain prior authorization certifications and facilitate payment sources for uninsured patients.
  • 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
  • Excellent communication and analytical skills.
  • Ability to work independently and as part of a team.
  • Knowledge of compliance principles and regulatory requirements.
  • High school diploma or equivalent required; postsecondary education preferred.
  • Two years of experience in hospital service access, clinical service access, or billing and collections required.
What We Offer

Duke University Health System offers a competitive salary and benefits package, as well as opportunities for professional growth and development.



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