This employee is scheduled to work Weekend Option - 6:00 am 6:30 pm, Friday, Saturday and Sunday.
This request is to fill a budgeted Financial Care Counselor position in the Duke North Admissions.
The FCC is responsible for patient registrations, insurance eligibility, financial screening, POS collections, payments plans and patient work queues.
Not filling this position will result in delays in the Duke North Admissions.
This will also impact patient satisfaction scores and denial rates.
Experience: Required Qualifications at this Level requested:
The intent of this job description is to provide a representative and Duties and Responsibilities of this Level Education.
Responsibilities that will be required of positions given this title declaration of the total of the specific duties and responsibilities of level of the types of duties and and shall not be construed.
Knowledge, Skills, and Abilities:
Identify, admit, schedule, register and pre-register patients with accurate patient demographic and financial data.
Resolve insurance claim rejections/denials and remedy expediently.
Verify insurance benefits.
Provide insurance benefit interpretation and counseling.
Calculate and collect payments appropriately for all patients.
Assist financially responsible persons in arranging payment.
Reconcile daily cash deposit.
Meet collection and data quality goals.
Perform duties necessary to ensure all accounts are processed accurately and efficiently.
Explain all required registration and billing forms and obtain signatures where applicable.
Explain bills according to PRMO financial assistance policies. Make referral for financial counseling when applicable.
Complete a 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.
Greet and provide assistance to our patients and visitors.
Exhibit the DUHS Values (Excellence, Safety, Integrity, Diversity and Teamwork) at all times while on duty.
Explain policies and procedures and resolve problems.
Gather necessary documentation to support proper handling of inquiries and complaints.
Assist with departmental coverage as Obtain authorizations based on insurance plan contracts and guidelines.
Document the 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.
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some post secondary education preferred.
Additional training or working knowledge in related business will be considered.
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 are required.
Excellent communication skills, oral and in writing.
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.
Distinguishing Characteristics of this Level:
This position is deemed essential.
Essential staff are expected to report to work during inclement weather.
This position is responsible for high productivity, generated accurately in accordance with established business processes or regulatory requirements.
Bedside registration is performed in the Emergency Department and on the inpatient units. T
'his position requires long periods of walking, standing and sitting. This position requires working knowledge of compliance principles. Job allows the opportunity to work independently. any particular position.
Employees may be directed to perform job-related tasks other than those specifically presented in this description.
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 ideasan 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.
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.
Degrees, Licensures, Certifications