Winston-Salem, North Carolina
Chesapeake County, Virginia, Virginia
Prescott, Arizona, Arizona
Andalusia, Alabama
Nashville, Tennessee
Glen Burnie, Maryland
Upstate NY, South of Albany, New York
Fredericksburg, Virginia
Posted: 11-Jan-25
Location: Durham, North Carolina
Categories:
Internal Number: 253312
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.
Job Title: FINANCIAL CARE COUNSELOR - PRE-VISIT COLLECTIONS
Duke University Health System's Permanent Revenue Management Office (PRMO) seeks to hire a financial care counselor for the pre-visit collections team who will embrace our mission of Advancing Health Together. The Financial Care Counselor is an integral part of the patient care team and is responsible for the revenue cycle patient access activities related to, but not limited to, financial counseling, the creation of patient estimates, analyzing and validating patient estimates, verifying benefits and being actively engaged for inbound and outbound phone calls. Financial Care Counselors enhance the patient experience by providing insight to patients regarding the requirements of their insurance plans and are responsible for identifying and correcting insurance registration errors and contributing to registration quality improvement.
Duties and responsibilities:
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Research to ensure patient information is complete and to identify services being revised to create an accurate estimate.
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Verifies and completes insurance benefit collection using current eligibility vend or other available online tools; verifies by telephone when online resources are exhausted.
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Updates patient registration information when demographics, new insurance, or insurance changes are identified.
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Creates an estimate for identified services using the approved estimation tool.
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Populates estimated patient liability information in Maestro Care, under Pre-Visit Estimate Info in the patient's account.
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Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies.
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Makes outbound calls to contact participants regarding estimates for upcoming visits/appointments, using the preferred scripting.
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Receives inbound calls from prospective patients who are price shopping and provides an estimate for potential services.
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Collects estimated patient liability and provides financial counseling, including explaining coverage/insurance benefits and how benefits relate to estimated patient liability; informing the patient of all account balances; collecting patient liabilities; or indicating the patient requires follow-up at the point of service.
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Provides education about financial assistance and payment options available to Duke patients.
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Documents all patient conversations in Epic un der Pre-Visit Estimate Info/Pre-Payment notes and updates Estimate Call Result field with appropriate response to alert POS staff if/when follow-up at arrival is required.
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Participates in team meetings and work culture initiatives.
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Reviews and maintains compliance with PRMO and departmental policy and procedure.
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Idenifies and communicates opportunities for team process improvement.
Perform other related duties incidental to the work described herein.
Knowledge, Skills, and Abilities
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Strong verbal and written communication skills are mandatory.
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Basic PC skills/data entry experience.
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Medical terminology knowledge.
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Ability to organize and prioritize.
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Ability to interact tactfully and courteously with the public.
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Ability to apply specific departmental policies, rules, and regulations related to verifying patient information, collecting payments, and maintaining records and forms.
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Ability to establish and maintain effective relationships with other personnel. ·
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General accounting principles.
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Ability to understand and interpret insurance carrier guidelines and plans.
MINIMUM QUALIFICATIONS
< p>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 business.
Experience
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. A bachelor's degree and one year of experience working with the public.
Degrees, licenses, and certifications
None required
Job Code: 00004500 FINANCIAL CARE COUNSELOR
Job Level: C1
Duke is an affirmative action/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, 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 essential job 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.
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 business.
Experience
Two years experience working in hospital service access, clinical service access, the physician's 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.
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.