Financial Care Counselor

The Private Diagnostic Clinic (PDC) of Duke Health is the world-class, multi-specialty physician practice comprised of 140 clinics located throughout North Carolina. The PDC recruits the top physicians and employees and retains them by offering competitive salaries and benefits and a supportive work environment where passion and purpose connect.

To learn more about our culture, visit: https://www.youtube.com/watch?v=D4Mq59-No-k

We are seeking a FINANCIAL CARE COUNSELOR for our Duke Otolaryngology of Raleigh clinic to 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/or local charity care.

This position is a split role between two clinics: Duke Otolaryngology of Raleigh and Duke Otolaryngology of South Durham.

WE INVITE YOU TO APPLY IF:

• You seek to deliver outstanding customer service with each and every customer encounter.
• You are detail oriented, conscientious and take pride in ensuring accuracy in your work.
• You thrive in fast-paced healthcare environment and enjoy working as part of a team.

JOB DUTIES

• Obtain prior authorizations/precertification for clinic and procedures as required by insurance carriers as needed according to PRMO guidelines.
• Obtain insurance certifications, and inform patients of their financial liability.
• Assists with department coverage as needed.
• Handles cash management.
• Resolve work queue edits, and resolve insurance claims denials and rejections
• Prescreen self-pay patients the day before to ensure and receive accurate patient demographics and insurance requirements are met and inform them of their financial liability prior to patient's arrival
• Facilitate payment sources for uninsured patients.
• Set up payment arrangements for patients with outstanding self-pay balances.
• Inform attending physician of patient financial hardship.
• Gathers necessary documentation to support proper handling of inquiries and complaints.

REQUIRED QUALIFICATIONS

• Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education and additional training preferred.
• Two years of experience working in a healthcare setting 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.
• Understanding of billing, insurance plan requirements and pre-authorization procedures.
• EPIC experience in billing, insurance, scheduling and pre-authorization preferred.

KNOWLEDGE, SKILLS, & ABILITIES

• 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.

ADDITIONAL INFORMATION

Certain jobs in the Private Diagnostic Clinic 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.

The Private Diagnostic Clinic 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.

The PDC 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

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description