Financial Counselor
Duke Careers
full-time
Posted on:
Location Type: Office
Location: Durham • North Carolina • United States
Visit company websiteExplore more
About the role
- Accurately complete patient accounts based on departmental protocol, policies, and procedures, and compliance with regulatory agencies, to include but not be limited to pre-admission, admission, pre-registration, and registration functions.
- Ensure all insurance requirements are met before patients' arrival and inform patients of their financial liability before arrival for services.
- Analyze insurance coverage and benefits for service to ensure timely reimbursement.
- Obtain all prior authorization certification and/or authorizations as appropriate.
- Calculate and collect cash payments appropriately for all patients.
- Resolve insurance claim rejections/denials and remedy them expediently.
- Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Requirements
- Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
- Two years of experience working in hospital service access, clinical service access, a physician's 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.
Benefits
- Duke is an 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 (including pregnancy and pregnancy-related conditions), sexual orientation, or military status.
- Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
patient accounts managementinsurance analysisprior authorizationcash payment calculationinsurance claim resolutioncompliance evaluationbilling and collectionsfinancial liability assessmentregulatory complianceservice access
Soft Skills
communicationcustomer serviceproblem-solvingattention to detailorganizational skillsinterpersonal skillsanalytical thinkingtime managementadaptabilityteam collaboration
Certifications
associate's degree in healthcare-related fieldbachelor's degree