Financial Care Counselor – Float Position
Duke Careers
full-time
Posted on:
Location Type: Office
Location: Raleigh • North Carolina • United States
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About the role
- 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
Requirements
- Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
- Two years experience working in hospital service access, clinical service access, physician office or billing and collections.
- Or, an Associate's degree in a healthcare related field and one year of experience working with the public.
- Or, a Bachelor's degree and one year of experience working with the public.
- None required
Benefits
- DUHS Commitment Bonus Program $5000.00 (paid in 2 installments over 12 months - 6 month increments)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
patient accounts managementinsurance analysisbilling documentationpayment processingauthorization managementclaims resolutionfinancial counselingdata reconciliationstatistical reportingcompliance evaluation
Soft Skills
communicationproblem-solvinginterpersonal skillsorganizational skillscustomer serviceattention to detailanalytical thinkingconflict resolutionfinancial negotiationteam collaboration