FINANCIAL CARE COUNSELOR-DUH ADMISSIONS

Job description

Auto req ID
113847BR
Duke Entity
PRMO
Job Code
4500 FINANCIAL CARE COUNSELOR
Job Description
Financial Care Counselor Job Description

 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 referral 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 provide assistance to 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 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 to resolve issues relating to coverage and payment.
  • Required Qualifications at this Level

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

  • 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, 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.

  • Distinguishing Characteristics of this Level:
  • This position is deemed “essential”. Essential staff is expected to report to work during inclement weather.
  • This position is responsible for high productivity, generated accurately in accordance with established business processes or regulatory requirements.
  • Bedside registration is performed int he Emergency Department and on the inpatient units.
  • This position requires long periods of walking, standing and sitting.
  • This position requires working knowledge of compliance principles.Job allows the opportunity to work independently.
  • The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the specific duties and responsibilities of any particular position
  • .Employees may be directed to perform job-related tasks other than those specifically presented in this description.

  • Distinguishing Characteristics of this Level:
     
  • On occasion overtime or weekend work may be required
  • Position may be subject to numerous interruptions.All job performance relates to the strategic goals of DUHS and its entities.
  • All DUHS staff is expected to live Duke’s Core Value:
  • Caring for our patients, their loved ones and each other.
  • Demonstrating commitment to excellence, safety, integrity, diversity and teamwork.D
  • The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position.
  • Staff members may be directed to perform job-related tasks other than those specifically presented in this description.

  • Location
    Durham
    Requisition Number
    401603762
    Position Title
    FINANCIAL CARE COUNSELOR-DUH ADMISSIONS
    Shift
    First/Day
    Job Family Level
    C1
    Full Time / Part Time
    FULL TIME
    Regular / Temporary
    Regular
    Department Name
    DUH ADMISSIONS
    Minimum Qualifications
    Duke University 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 ofour perspectives, backgrounds, and experiences flourishes. To achieve his 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.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, clinic a 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 yearof experience working with the public.Degrees, Licensures, Certifications

    None required

     

     

     

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    Job No:
    Posted: 5/22/2019
    Application Due: 7/21/2019
    Work Type:
    Salary: