Financial Care Counselor at Duke Vascular Surgery managing patient accounts based on compliance and insurance requirements. Ensuring accurate billing and aiding in patient financial management.
Responsibilities
Accurately complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies.
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.
Admit, register and pre-register patients with accurate patient demographic and financial data.
Resolve insurance claim rejections/denials and remedy expediently.
Explain bills according to PRMO credit and collection policies.
Requirements
Two years’ experience working in hospital service access, clinical service access, physician office or billing and collections.
An Associate's degree in a healthcare related field and one year of experience working with the public.
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.
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