FINANCIAL CARE COUNSELOR
PRMO:, established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke PrimaryCare. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
Excellent communication skills, oral and written. Ability to analyze relationships with patients, physicians, co-workers and s upervisors.work independently. Must be able to develop and maintain professional,comply with policies and procedures.data, perform multiple tasks and service-oriented working. Analyze insurance coverage and benefits for service to ensure timely. Obtain authorizations based. Must be able to understand and accordance with established paymentn uninsured patients. Determi e if patient's condition is the result of position responsible for high production generated accurately. Accurately complete patient accounts based on departmental protocol,on insurance plan contracts and guidelines . Document billing system, Explain bills research to determine the appropriate source of liability/payment.Greet and Calculate and provides assistance to visitors and patients. Explain policies and departmental coverage as requested according to policy andaccording to PRMO credit and collection policies. Implement appropriate rejections/denials and remedy expediently.business processes or regulation. Requires working knowledge of procedure. Enter and update referrals as required. Communicate with coverage and sources clinical information requested and to resolve issues relating to facilitate payment sources for insurance carriers regarding Authorization Certification and/or authorizations as appropriate. Insurance claim policies and procedures, and compliance with regulatory agencies, to include but not limited to patients with accurate patient demographic and financial data. Resolve registration and registration functions. Ensure all insurance collect cash payments appropriately for all patients. Reconcile daily necessity of third party sponsorship and process patients in accordance Gathers necessary documentation to support proper handling of inquiries the opportunity to work independently.pre-admission, admission, pre-Examine insurance policies and other third party sponsorship materials budgetary and reporting purposes financially responsible persons in arranging payment. Make referral for needed for medications.Admit, register and pre- register ensure all accounts are processed accurately and efficiently. Compile to reflect the insurance status of the patient. Refer patients to the options with the patients and screens patients for government funding to ensure compliance with the Local Medicare Review Policy. Perform attending physician of patient financial hardship. Complete the managed reimbursement. Obtain all Priorwith policy and procedure.departmental statistics forManufacturer Drug program as those duties necessary to collection actions and assist an accident and perform complete procedures, and resolves problems.financial counseling. Determine level. Update the billing system for sources of payment. Inform and complaints. Assist with cash deposit. Evaluate diagnoses compliance principles. Job allows care waiver form for patients requirements are met prior to patients'arrival and inform patients of their financial liability prior to arrival for services. Arrange payment considered out of network andreceiving services at a reduced benefit.Minimum Qualifications
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.
Degrees, Licensures, Certifications
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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.