Financial Care Counselor - Duke Neuro Surgery Morrisville

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.

Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of Duke Health's mission across the state of North Carolina.

$5000 Commitment Bonus for qualifying candidates!

JOB LOCATION

Duke Neuro Surgery Morrisville - 5601 Arringdon Park Dr #300, Morrisville, NC 27560

JOB SUMMARY

We are seeking aFinancial Care Counselor to 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.

JOB DUTIES AND RESPONSIBILITIES

• Obtain prior authorization/pre-certification for clinic procedures as required by insurance carriers as needed according to PRMO guidelines.
• Obtain insurance verification and inform patients of their financial liability. Arrange payment options for financially liable patients.
• Pre-register patients with accurate patient demographics and financial data as needed.
• Resolve insurnace claim denials/rejections.
• Calculate and collect payments appropriately for all patients.
• Resolve appropriate WQ edits.
• Inform attendin physician of patient financial hardship.
• Update billing system to reflect the current insurance status of the patient.
• Assist with department coverage at the front desk, as needed.
• Reconcile necessary blling and WQ issues.
• Gather necessary information and documentation to support proper handling of billing inquiries and complaints.

JOB ELIGIBILITY REQUIREMENTS

• 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.
• 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.

JOB HOURS

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.