FINANCIAL CARE COUNSELOR-HOSPITAL SERVICE ACCESS FLOAT

Job description

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.

Duties and Responsibilities of this Level:

  • Identifies, admits, schedules, registers and pre-registers patients with accurate patient demographic and financial data.
  • Meets or exceeds data quality goals.
  • Explain all required r registration and billing forms and obtain signatures where applicable
  • Verifies insurance benefits using our electronic insurance verification system and/or contacts payors via website or phone.
  • Assigns the correct coverage on the patient’s account
  • Completes Medicare Secondary Payer Questionnaire (MSPQ)
  • Collects point of service payments.
  • Meets or exceeds collection goals.
  • Creates estimates for upcoming services when applicable.
  • Arranges payment plans and offers financial assistance when applicable.
  • Reconciles daily cash deposit.
  • Performs duties necessary to ensure all accounts are processed accurately and efficiently.
  • Greets and provides assistance to our patients and visitors.
  • Exhibits the DUHS Values (E (Excellence, Safety, Integrity, Diversity and Teamwork) at all times while on duty.
  • Explains policies and procedures and resolve problems.
  • Gather necessary documentation to s support proper handling of inquiries and complaints.
  • Explain bills according to PRMO financial assistance policies.
  • Resolves claim edits
  • Researches denials and remedy expediently.
  • Completes a non-covered waiver form for patients considered out of network and receiving s services at a reduced benefit level.
  • Completes waive for non-authorized services.
  • Obtain authorizations based on insurance plan contracts and guidelines.
  • Document the billing system according to policy and procedure.
  • Enter and update referrals as required.
  • Assists with departmental coverage as requested.
  • 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, 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

    None required

    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 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.

     

     

     

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    Job No:
    Posted: 7/24/2019
    Application Due: 10/22/2019
    Work Type:
    Salary: