Financial Care Counselor (DUHS Commitment Bonus Eligible)
Duke University Health System
Application
Details
Posted: 30-Jun-24
Location: Durham, North Carolina
Salary: Open
Categories:
Admin / Clerical
Internal Number: 247237
Duke Health Integrated Practice is an exceptional, multi-specialty physician practice encompassing 140 clinics across North Carolina. We attract and retain premier medical professionals with competitive compensation, benefits, and a nurturing work atmosphere that unites passion and purpose.
$5000 Commitment Bonus | Paid out in 2 equal installments over 12 months in 6-month increments (received at 6 months and 12 months). **Only new hires who have not worked for Duke University Health System in the past 12 months (at the time of offer) are eligible to receive the commitment bonus.**
JOB LOCATION
Signature Care of South Durham - 234 Crooked Creek Pkwy
JOB SUMMARY
We are seeking a Financial Care Counselor for Signature Care located in Durham to advise and assist our patients regarding medical bills and act as a liaison between patients and their insurance companies by ensuring insurance requirements are met prior to patients' arrival, informing patients of financial liability, arranging payment options and screening patients for government funding sources.
JOB DUTIES AND RESPONSIBILITIES
Complete check in, check out and make additional appointments for our Travel Clinic on Tuesdays and Thursdays from 8:00-1:00.
Populate estimated patient liability information in electronic health record into patient's account
Help patients who call in with billing inquires.
Work with our GI clinic to make GI appointments between the patient and clinic.
Conduct research to ensure patient information is complete and to identify services being rendered
Verify and complete insurance benefit collection using current eligibility vendors or other available online tools; verify by telephone when online resources are exhausted.
Update patient registration information when demographics, new insurance or insurance changes are identified
Receive inbound calls from prospective patients who are price shopping and provide an estimate for potential services
Collect estimated patient liability and provide financial counseling to include explanation of coverage/insurance benefits, how benefits relate to estimated patient liability and information on all account balances
Document all patient conversations in electronic health record to alert staff if/when follow-up at arrival is required
Cash management- reconcile daily cash deposits, ensure daily collection batches are closed and accurate with system records; ensure all deposits are made according to cash management policy; and perform monthly cash audits with clinic management and report any discrepancies/issues.
Calculate and collect cash payments appropriately for all patients
Investigate and resolve insurance claim rejection/denials and remedy be able to speak directly with patients on bills/outstanding balances for services rendered. Determine necessary processes for setting up payment or making corrections to resend claims to ensure payment.
Consistently update patient insurance coverage and complete managed care waivers for patients considered out of network.
Provide support and back-up PSA/check-in services.
Provider support with overflow referrals, inbaskets and orders from our providers.
Work denials and claim edits in the FCC workque daily
Communicate with insurance carriers regarding clinical information requested to solve related to coverage and payment.
Other clinic duties as assigned (Included but not limited to check in , check out process, monitor provider in baskets, orders, workques, referrals ,collect membership fees and float to cover closing at either site if needed.)
JOB ELIGIBILITY REQUIREMENTS
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education and additional training preferred.
Two years of experience working in a healthcare setting 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.
JOB HOURS
The working hours for this position are 7:45AM - 4:15PM. We will let you know in advance if there is a schedule change or adjustment. The employee may be asked to close until 4:30PM or 5:00PM on occasions if the Team Leader or a colleague is out. Person must be able to cover the other clinic FCC when they are out and support the front desk.
Some roles within our organization may encompass essential job functions requiring distinct physical and/or mental capabilities. Further details and accommodation requests will be addressed by individual hiring departments.
Duke Health Integrated Practice is dedicated to Equal Opportunity Employment, fostering a diverse workforce without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
We aspire to build a community grounded in collaboration, innovation, creativity, and belonging. Our shared achievements rely on a dynamic exchange of ideas, flourishing best when a multitude of perspectives, backgrounds, and experiences thrive. Upholding these values is a collective responsibility within our community.
This job description aims to outline representative responsibilities for this title, not an exhaustive account of specific duties. Employees may be assigned job-related tasks beyond those explicitly outlined here.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.