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Duke University Health System · 1 day ago

Financial Care Counselor - Speech Pathology & Audiology

Durham, NC

Full-time

Onsite

Entry Level

1+ years exp

Duke University Health System is committed to compassionate care that changes the lives of patients and their loved ones. They are seeking a Financial Care Counselor to manage patient accounts, ensure compliance with insurance requirements, and facilitate payment options for patients.

Health CareMedical

H1B Sponsor Likely

Responsibilities

Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, 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 screens patients for government funding sources

Analyze insurance coverage and benefits for service to ensure timely reimbursement

Obtain all Prior Authorization Certification and/or authorizations as appropriate

Facilitate payment sources for uninsured patients

Determine if patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment

Admit, register and pre-register patients with accurate patient demographic and financial data

Resolve insurance claim rejections/denials and remedy expediently

Calculate and collect cash payments appropriately for all patients

Reconcile daily cash deposit

Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy

Perform those duties necessary to ensure all accounts are processed accurately and efficiently

Compile departmental statistics for budgetary and reporting purposes

Explain bills according to PRMO credit and collection policies

Implement appropriate collection actions and assist financially responsible persons in arranging payment

Make referral for financial counseling

Determine necessity of third party sponsorship and process patients in accordance with policy and procedure

Examine insurance policies and other third party sponsorship materials for sources of payment

Inform attending physician of patient financial hardship

Complete the 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

Refer patients to the Manufacturer Drug program as needed for medications

Greet and provides assistance to visitors and patients

Explain policies and procedures, and resolves problems

Gathers 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 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

Qualification

Insurance analysisPatient registrationBillingCollectionsData analysisCommunication skillsService-oriented relationshipsCompliance knowledge

Required

Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred

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

Excellent communication skills, oral and written

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

Company

Duke University Health System

Glassdoor3.7

World-class academic and health care system

Founded in 1925

Durham, North Carolina, USA

10001+ employees

http://dukemedicine.org

H1B Sponsorship

Duke University Health System has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (39)

2024 (30)

2023 (17)

2022 (24)

2021 (12)

2020 (10)