Duke University · 13 hours ago
Financial Care Counselor - Ancillary Service Access (Float Position)
Durham, NC, US, 27710
Full-time
Onsite
Entry, Mid Level
2+ years expDuke University is committed to compassionate care and is seeking a Financial Care Counselor to join their Patient Revenue Management Organization. The role involves managing patient accounts, ensuring insurance requirements are met, and facilitating payment options for patients.
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Responsibilities
Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions
Ensure all insurance requirements are met prior to patients' arrival and inform patients of their financial liability prior to arrival for services
Arrange payment options with the patients and screens patients for government funding sources
Analyze insurance coverage and benefits for service to ensure timely
Obtain authorizations based payment on insurance plan contracts and guidelines
Document billing system
Explain bills provides assistance to visitors and patients
Explain policies and departmental coverage as requested
Calculate and according to PRMO credit and collection policies
Implement appropriate collect cash payments appropriately for all patients
Reconcile daily necessity of third party sponsorship and process patients in accordance 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
Qualification
Required
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education
Two years experience working in hospital service access, clinical service access, physician office or billing and collections
An Associate's degree in a healthcare related field and one year of experience working with the public
A Bachelor's degree and one year of experience working with the public
Excellent communication skills, oral and written
Ability to analyze relationships with patients, physicians, co-workers and supervisors
Ability to perform multiple tasks and work independently
Must be able to develop and maintain professional, service-oriented working relationships
Must be able to understand and comply with policies and procedures
Preferred
Some postsecondary education preferred
Additional training or working knowledge of related business
Company
Duke University
Duke University is a private research university providing undergraduate and postgraduate education in medicine and other disciplines.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$71.15MKey Investors
North Carolina Biotechnology CenterUS Department of EnergyGlaucoma Research Foundation
2023-02-17Grant· $0.11M
2022-09-19Grant
2022-03-09Grant· $0.05M
Leadership Team
Barry Myers
Professor and Director
Dan Ariely
Professor
Recent News
2025-12-18
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