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Financial Counselor
Duke Careers. Complete patient accounts according to departmental protocols, policies, procedures, and regulatory requirements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient account management, including insurance verification, financial counseling, and compliance with regulatory requirements. Proficient in data analysis, communication, and maintaining professional relationships within a healthcare setting.
Highest-signal resume keywords
Patient Account ManagementInsurance VerificationFinancial CounselingData AnalysisRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient RegistrationInsurance Coverage AnalysisCash Payment CalculationBilling System UpdatesManaged Care Waiver Processing
Soft Skills
Excellent Oral CommunicationExcellent Written CommunicationProblem ResolutionService-Oriented Relationship BuildingIndependent Work Ability
Industry Keywords
HealthcareHospital Service AccessClinical Service AccessBilling and CollectionsCompliance Principles
About the role
Key responsibilities & impact- Complete patient accounts according to departmental protocols, policies, procedures, and regulatory requirements
- Perform pre-admission, admission, pre-registration, and registration functions
- Verify insurance requirements and inform patients of financial liability before services
- Arrange payment options and screen patients for government funding sources
- Analyze insurance coverage and benefits and obtain required authorizations
- Facilitate payment sources for uninsured patients
- Research accident-related liability and determine appropriate payment sources
- Admit, register, and pre-register patients using accurate demographic and financial data
- Resolve insurance claim rejections and denials
- Calculate and collect patient cash payments and reconcile daily cash deposits
- Evaluate diagnoses for compliance with the Local Medicare Review Policy
- Compile departmental statistics for budgeting and reporting
- Explain bills and implement collection actions according to PRMO policies
- Assist financially responsible persons with payment arrangements and refer patients for financial counseling
- Process third-party sponsorships and examine insurance and sponsorship materials
- Inform attending physicians about patient financial hardship
- Complete managed care waiver forms for out-of-network patients receiving reduced benefits
- Update billing systems, document according to policy, and enter or update referrals
- Refer patients to Manufacturer Drug programs when needed
- Greet and assist patients and visitors, explain policies, and resolve problems
- Gather documentation for inquiries and complaints and assist with departmental coverage
- Communicate with insurance carriers regarding clinical information, coverage, and payment issues
Requirements
What you’ll need- High school education-level knowledge of basic grammar and mathematical principles
- Some postsecondary education preferred
- Additional training or working knowledge of related business
- Two years of 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
- Excellent oral and written communication skills
- Ability to analyze data, perform multiple tasks, and work independently
- Ability to develop and maintain professional, service-oriented relationships with patients, physicians, co-workers, and supervisors
- Ability to understand and comply with policies and procedures
- Working knowledge of compliance principles
- No degrees, licensures, or certifications required
Benefits
Comp & perks- Remote work arrangement
- Monday-Friday work hours, 8:00am-4:30pm
- Equal employment opportunity protections