FINANCIAL CARE COUNSELOR

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health's Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.

Duties and Responsibilities of this Level:

Identifies, admits, schedules, registers, and pre-registers patients with accurate patient demographic and financial data. Meets or exceeds data quality goals.• Explain all required registration and billing forms and obtain signatures that are replicable.  Verifies insurance benefits using our electronic insurance verification system and/or contacts payers via website or phone. Assigns the correct coverage to the patient’s account.• completes the Medicare Secondary Payer Questionnaire (MSPQ); • collects point-of-service payments. Meets or exceeds collection goals. • Creates estimates for upcoming services when applicable.• arranges payment plans and offers financial assistance where possible. • reconciles daily cash deposits. • Performs duties necessary to ensure all accounts are processed accurately and efficiently.• Greets and assists our patients and visitors.• Exhibits the DUHS values (Excellence, Safety, Integrity, Diversity, and Teamwork) at all times while on duty.• Explains policies and procedures and resolves problems. Gather the necessary documentation to support the proper handling of inquiries and complaints.• Explain bills according to PRMO financial assistance policies.• Resolves claim edits• Researches denials and remedies extensively.

Completes a non-covered waiver form for patients considered out of network and receiving services at a reduced benefit level. Complete a waiver for non-authorized services Obtain authorizations based on insurance plan contracts and guidelines. 

Document the billing system according to policy and procedure; enter and update referrals as required. Assists with departmental coverage as requested. Experience: Ability to analyze data and perform modifications: None requiredKnowledge, Skills, and Abilities: Excellent communication skills and the ability to 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.Distinguishing Characteristics of this Level: This position is deemed "essential.”. Essential staff are expected to return to work during inclement weather. This position is responsible for high productivity, generated accurately by established business processes or regulatory requirements. Bedside regularization is performed in the emergency department and the inpatient unit. This position requires long periods of walking, standing, and sitting. This position requires working knowledge of compliance principles. JJob provides the opportunity to work independently.This job description intends to provide a representative level of the types of duties and responsibilities that will be required of positions given this title, and it shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position.Employees may be required to perform job-related tasks other than those specifically presented in this description.

Experience: Required Qualifications at this Level. This job description intends to provide a representative and educational description of the responsibilities that will be required of positions given this title declaration of the total of the specific duties and responsibilities at the level of the types of duties and shall not be construed as knowledge, skills, and abilities: Identify, admit, schedule, register and pre-register patients with accurate patient demographic and financial data. Resolve insurance claim rejections and denials and remedy them expediently.Verify insurance benefits. Provide insurance benefits, information, and counseling. Calculate and collect payments appropriately for all patients. Assist financially responsible persons in arranging payment. Reconcile the daily cash deposit. Meet collection and data quality goals. Perform the 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. PRMO financial assistance PRMO financial assistance policies. Make a referral for financial assistance 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 the necessary documentation to support the proper handling of inquiries and complaints. 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.  The part-time FCC will support the Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital emergency departments.

Part-time FCCs can be scheduled to work all shifts and locations based on availability and departmental needs. This position is not eligible for Duke University Health System benefits, including medical, dental, and vision insurance, paid time off, or the DUHS retirement plan. A minimum number of hours of work is not guaranteed per week. This position is deemed "essential. Essential staff are expected to report to work during inclement weather. This position is responsible for high productivity, generated accurately by established business processes or regulatory requirements. BEDside registration is performed in the emergency departments. This position requires long periods of walking, standing, and sitting. This position requires working knowledge of compliance principles. A job allows the opportunity to work independently in any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Minimum Qualifications

Education

Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred. Additional training or working knowledge of related businesses.

Experience

Two years of experience working in hospital service access, clinical service access, the physician's office, the orbit or billing line, and billing collection. 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.

Degrees, licenses, and certifications

None required

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.