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Posted: 04-Jan-25
Location: Raleigh, North Carolina
Internal Number: 249712
Duke Health Integrated Practice is an exceptional, multi-specialty physician practice encompassing 140 clinics across North Carolina. We attract and retain premier medical professionals with competitive compensation, benefits, and a nurturing work atmosphere that unites passion and purpose.
Learn more about us: https://dhip.dukehealth.org/about-us
$5000 Commitment Bonus | Paid out in 2 equal installments over 12 months in 6-month increments (received at 6 months and 12 months). ?**Only new hires who have not worked for Duke University Health System in the past 12 months (at the time of offer) are eligible to receive the commitment bonus.**
JOB LOCATION
Duke Cardiology of Raleigh - 3320 Wake Forest Rd
JOB SUMMARY
We are seeking a Financial Care Counselor to accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include by not limited to 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 screen patients for government funding sources and/or local charity care.
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 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.
Some roles within our organization may encompass essential job functions requiring distinct physical and/or mental capabilities. Further details and accommodation requests will be addressed by individual hiring departments.
Duke Health Integrated Practice is dedicated to Equal Opportunity Employment, fostering a diverse workforce without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
We aspire to build a community grounded in collaboration, innovation, creativity, and belonging. Our shared achievements rely on a dynamic exchange of ideas, flourishing best when a multitude of perspectives, backgrounds, and experiences thrive. Upholding these values is a collective responsibility within our community.
This job description aims to outline representative responsibilities for this title, not an exhaustive account of specific duties. Employees may be assigned job-related tasks beyond those explicitly outlined here.
