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Duke University Health System · 18 hours ago

Financial Care Counselor - Radiation Oncology

Durham, NC

Contract

Onsite

Entry Level

2+ years exp

Duke University Health System is committed to compassionate care and is seeking a Financial Care Counselor for their Patient Revenue Management Organization. The role involves accurately managing patient accounts, ensuring insurance requirements are met, and facilitating financial arrangements 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

Obtain authorizations based payment on insurance plan contracts and guidelines

Document billing system

Explain bills provides assistance to visitors and patients

Explain policies and departmental coverage as requested

Calculate and according to PRMO credit and collection policies

Implement appropriate collect cash payments appropriately for all patients

Reconcile daily necessity of third party sponsorship and process patients in accordance 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

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

Collection actions and assist financially responsible persons in arranging payment

Make referral for financial counseling

Determine 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 procedures, and resolves problems

Gathers necessary documentation to support proper handling of inquiries and complaints

Assist with 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

Qualification

Insurance analysisPatient registrationBillingCollectionsFinancial counselingData analysisCompliance knowledgeCommunication

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 relationships with patients, physicians, co-workers and supervisors

Must be able to develop and maintain professional, service-oriented working relationships

Must be able to understand and comply with policies and procedures

Benefits

$5000.00 (paid in 2 installments over 12 months - 6 month increments)

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)