Financial Care Counselor Position Available In Durham, North Carolina

Financial Care Counselor

Work Arrangement:

Requisition Number:

257439

Regular or Temporary:

Regular

Location:

Durham, NC, US, 27710

Personnel Area:

DUKE HEALTH LAKE NORMAN

Date:

May 16, 2025
Duke Health Lake Norman Hospital, located in Mooresville, North Carolina, is a 123-bed acute-care hospital that has been serving the greater Lake Norman area, Iredell County, and surrounding communities since 1926. The facility offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women’s services, and surgical specialties.
Occ Summary 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. Work Performed Analyze insurance coverage and benefits for service to ensure timely Obtain authorizations based payment. provides assistance to visitors and patients. Explain policies and Calculate and according to PRMO credit and collection policies. Implement appropriate on insurance plan contracts and guidelines. Document billing system Explain bills departmental coverage as requested. 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. 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 reportingpurposes. 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 statusof the patient. Refer patients to the Manufacturer Drug program as needed for medications. Greet and support proper handling of inquiries and complaints. Assist with procedures, and resolves problems. Gathers necessary documentation to 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 Knowledge, Skills and Abilities Excellent communication skills, oral and written. Ability to analyze relationships with patients, physicians, co-workers and supervisors. data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working Must be able to understand and comply with policies and procedures. Level Characteristics Position responsible for high production generated accurately in accordance with established business processes or regulation. Requires working knowledge of compliance principles. Job allows the opportunity to work independently. Minimum Qualifications Duke is an Equal Opportunity Employer committed to provi dingemployment opportunity without regard toan individual’s age, color, disability, gender, gender expression, gender identity, geneticinformati on, national origin, race, religion, sex (including pregnancyand pregnan cy related conditions), sexual orientation or militarystatus. &nb sp; Duke aspires to create a community built on collaboration,inno vation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the richdiversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of thecommunity feel se cure and welcome, that the contributions of allindividuals are respected , and that all voices are heard. All members ofour community have a resp onsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University andDuke University Healt h System may include essential job functions thatrequire specific physic al and/or mental abilities. Additionalinformation and provision for requ ests for reasonable accommodation willbe provided by each hiring departm ent. Education Work requires knowl edge of basic grammar and mathematical principlesnormally required throu gh a highschool education, with somepostsecondary education preferred. Additional trainingor workingknowledge of related business. Experience Two years experience working in hospital service acce ss, clinicalservice access, physician office orbilling and collections. Or, anAssociate’s degree in a healthcare related field and one year ofe xperience working with the public. Or, a Bachelor’s degree and one yearo f experience working with the public. Degrees, Licensures, Certif ications None required Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe 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.

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.