Financial Care Counselor - Duke Innovative Pain Therapies at Brier Creek

Duke Health Integrated Practice is an exceptional, multi-specialty physician practice encompassing 140 clinics across North Carolina. We attract and retain premier medical professionals with competitive compensation, benefits, and a nurturing work atmosphere that unites passion and purpose.

Learn more about us: https://dhip.dukehealth.org/about-us

$5,000 Commitment Bonus | Paid out in 2 equal installments over 12 months in 6-month increments (received at 6 months and 12 months). **Only new hires who have not worked for Duke University Health System in the past 12 months (at the time of offer) are eligible to receive the commitment bonus.**

JOB LOCATION

Duke Innovative Pain Therapies at Brier Creek - 10207 Cerny St #114, Raleigh, NC 27617

JOB SUMMARY

The Financial Care Counselor is an integral part of the patient care team in the clinic /service area and is responsible for the revenue cycle patient access activities related to but not limited to financial counseling and clearance of patients to include service specific authorizations and referrals. Financial Counselors enhance the patient experience by assisting patients in maximizing third party payment for healthcare services and reducing the patient out of pocket expense. Financial Care Counselors also enhance the patient experience by providing insight to patients regarding the requirements of their insurance plans and the penalties for non-compliance. Financial Care Counselors are responsible for identifying and correcting insurance registration errors and contributing to registration quality improvement. Many Financial Care Counselors serve as a Cash Manager in the clinic. The Financial Care Counselor provides coverage at the front desk as required.

JOB DUTIES AND RESPONSIBILITIES

• Obtain prior authorization/pre-certification and medical necessity reviews for services prior to being rendered
• Make appointments for patients checking out.
• WQ that requires an appointment to be scheduled; including, but not limited to, scheduling referrals, Scheduling procedures, and scheduling radiology
• Check patients in/out. Greet and provide assistance to all patients and visitors
• Cash Manager duties
• Serve as an expert in site of service authorization and insurance benefit implications to include the patient's responsibility of co-insurance and co-pay, and the potential for multiple bills. Inform patients and providers of impact prior to service for evaluation of location change. Facilitate changes in authorization as required.
• Assess the current financial situation of patients through the verification of benefits; serving as the technical expert for reimbursement and the interpretation of benefits to maximize patient coverage. Maintain proficiency in verifying insurance eligibility and obtain benefits via all methods (e.g. integrated vendor eligibility solutions, phone, fax, or payer website).
• Assist in the development and implementation of general policies and procedures to provide for the emotional and physical comfort and safety of patients; participate in the formulation of new policies.
• Participate in maintaining the environment of care including equipment and other material resources.
• Participate in the identification of clinical or operational performance improvement opportunities and assists in performance improvement activities.
• Participate in in-service education programs and other conferences within the service.
• Assist in the training of new employees.

JOB ELIGIBILITY REQUIREMENTS

• 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.

JOB HOURS

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.

Some roles within our organization may encompass essential job functions requiring distinct physical and/or mental capabilities. Further details and accommodation requests will be addressed by individual hiring departments.

Duke Health Integrated Practice is dedicated to Equal Opportunity Employment, fostering a diverse workforce without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

We aspire to build a community grounded in collaboration, innovation, creativity, and belonging. Our shared achievements rely on a dynamic exchange of ideas, flourishing best when a multitude of perspectives, backgrounds, and experiences thrive. Upholding these values is a collective responsibility within our community.

This job description aims to outline representative responsibilities for this title, not an exhaustive account of specific duties. Employees may be assigned job-related tasks beyond those explicitly outlined here.