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Financial Care Counselor

Regular Full Time Durham, North Carolina
Requisition Number: 231302
PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.

***$2500.00 Sign On Bonus (2 installments over 12 months - 6-month increments) ***

Work Schedule (Monday-Thursday 9:30 am-8 pm) 

FCC Working Job Description 

Duties and Responsibilities of this Level

Identify, admit, schedule, register, and pre-register patients with accurate patient demographic and financial data. Resolve insurance claim rejections/denials and remedy expediently.

Verify insurance benefits.  Provide insurance benefit interpretation and counseling. Calculate and collect payments appropriately for all patients. Assist financially responsible persons in arranging payment. Reconcile daily cash deposit. Meet collection and data quality goals.  Perform duties necessary to ensure all accounts are processed accurately and efficiently.  Explain all required registration and billing forms and obtain signatures where applicable.  

Explain bills according to PRMO financial assistance policies. Make referrals for financial counseling when applicable.  Complete a 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. 

Greet and assist our patients and visitors. Exhibit the DUHS Values (Excellence, Safety, Integrity, Diversity, and Teamwork) at all times while on duty.  Explain policies and procedures and resolve problems. Gather necessary documentation to support the proper handling of inquiries and complaints. Assist with departmental coverage as requested.

Obtain authorizations based on insurance plan contracts and guidelines. Document the billing system according to policy and procedure. Enter and update referrals as required. Communicate with insurance carriers regarding clinical information requested and resolve issues relating to coverage and payment.

Required Qualifications at this Level


Work requires knowledge of basic grammar and mathematical principles normally required through high school education, with some postsecondary education preferred. Additional training or working knowledge in related business will be considered. 


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 are required.

Degrees, Licensure, and/or Certification:

None required

Knowledge, Skills, and Abilities:

Excellent communication skills, oral and in writing. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors. Must be able to understand and comply with policies and procedures.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran 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. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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