Financial Care Counselor - Cardiology at Duke Health

Raleigh, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Jun, 26

Salary

5000.0

Posted On

30 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Insurance Verification, Payment Arrangement, Pre-registration, Financial Liability Communication, Documentation, Claim Denial Resolution, Payment Collection, Billing System Updates, Referrals Management, In-basket Message Handling, Cash Management, Customer Service, Healthcare Administration, Medical Billing

Industry

Hospitals and Health Care

Description

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 the Duke Health mission across the state of North Carolina. $5,000 Commitment Bonus for qualifying candidates! JOB LOCATION: Duke Cardiology of Raleigh - 3320 Wake Forest Rd JOB SUMMARY: We are seeking a Financial Care Counselor in our Duke Cardiology of Raleigh clinic located in Raleigh, NC to be an integral member of the healthcare team to provide direct and indirect care to patients. JOB DUTIES AND RESPONSIBILITIES: Obtain prior authorization/pre-certification for clinic and cath lab procedures as required by insurance carriers as needed according to PDC 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. Contact patients in advance if they do not have insurance listed and create estimates. Properly document all patient communication. Resolve insurance claim denials/rejections. Work monthly denial list to find any billing or denial issues. Calculate and collect payments appropriately for all patients. Resolve appropriate WQ and claim edits. Inform attending physician of patient financial hardship and keep the providers update regarding any peer to peer requests. Update billing system account notes and referrals to reflect the current insurance status of the patient. Reconcile necessary billing and work queue issues. Assist with department coverage as needed. It will include: referrals, recalls, order workqueues, no-show lists, in-basket messages, log into the cisco phone system and take calls to help the team, cover the front desk check-in and check-out. Gather necessary information and documentation to support proper handling of billing inquiries and complaints. Handle cash management and close out other employees cash on a daily basis. 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 of experience working in a 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. Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.

Responsibilities

The Financial Care Counselor is responsible for obtaining necessary prior authorizations and insurance verifications for clinic and cath lab procedures, while also informing patients of their financial liability and arranging payment options. Duties also include resolving insurance claim denials, managing billing work queues, and providing administrative support across various clinic functions.