Financial Care Counselor - DRAH Outpatient Service Access (Float Position)

We need to output HTML fragment with sections: About the role? The posting includes description: "At Duke Health, we're driven..." maybe that's about the organization. Could be "About the role" or "About Duke Health". The instructions: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Include a section only when posting has real, specific content. So we need to parse content. We have: - Intro: "At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together." This is about organization/mission. Could be "About the role"? Actually "About the role" is more about the job. But we have a description of the organization. Could be "About Duke Health". But allowed headings list includes "About the role". We could use that for mission statement. - Then: "Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health." This is description of the org. - Then: "Duke Raleigh Floater FCC Hours available Monday - Friday 7:00am to 5:30pm $5000.00 Sign On Bonus (2 installments over 12 months - 6 month increments) *** Only new hires who have not worked for Duke University in the past 12 months (at the time of offer) are eligible to receive the sign-on bonus." That gives schedule (Hours) and Pay (Sign On Bonus). Also schedule: Monday-Friday 7am-5:30pm. - Then: "Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Financial Care Counselor who will embrace our mission of Advancing Health Together." - Then a long list of duties: "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 on insurance plan contracts and guidelines.Document billing system.Explain bills provides assistance to visitors and patients.Explain policies and departmental coverage as requested.Calculate and according to PRMO credit and collection policies.Implement appropriate 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. 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 reporting purposes.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 status of the patient.Refer patients to the Manufacturer Drug program as needed for medications.Greet and procedures, and resolves problems.Gathers necessary documentation to support proper handling of inquiries and complaints.Assist with 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" That's responsibilities. - Then: "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." That's Knowledge, Skills, Abilities (KSAs). Could be "Skills" or "Knowledge, Skills And Abilities". Use heading "Skills" maybe. - Then: "Minimum Qualifications Education 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. Experience 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. Degrees, Licensures, Certifications None required" That's "Requirements" or "Qualifications". Use "Qualifications" heading. - Then: "Duke is an Equal Opportunity Employer..." that's boilerplate EEO, remove. - Then: "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." That's boilerplate, remove. Thus we have sections: About the role (intro + org description), Responsibilities (the long list), Skills (KSAs), Qualifications (minimum qualifications), Benefits? There's sign-on bonus and maybe other benefits? Only sign-on bonus mentioned. Could be "Benefits" heading for sign-on bonus? But sign-on bonus is more like Pay? Actually it's a bonus, could be under Pay or Benefits. The instructions: include Pay/Schedule/Benefits sections only if posting actually states them. We have schedule (Hours) and sign-on bonus (Pay?). Could treat sign-on bonus as Pay (maybe "Pay" heading). Or we could put under Benefits. The list includes Pay as possible heading. Since they explicitly mention "$5000.00 Sign On Bonus", that's pay-related. So we can have a Pay section with that detail. Also schedule: Monday-Friday 7:00am to 5:30pm. So we can have Schedule section. Thus sections: About the role, Responsibilities, Skills, Qualifications, Pay, Schedule. We must not repeat job title as heading. Job title is Financial Care Counselor (implied). Not used. We must not include Job ID etc. We must preserve all substantive information. Need to extract details accurately. Let's craft each section content. About the role: combine intro and description of PRMO. Paragraph: "At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. The Patient Revenue Management Organization is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle, including scheduling, registration, coding, billing, and other essential revenue functions for Duke Health." That seems fine. Responsibilities: need to list duties as

• . The responsibilities text is a long run-on sentence with many items separated by periods. We need to split into sensible bullet points. Must preserve all substantive information; we can break at each distinct duty. Let's parse the responsibilities paragraph: "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 on insurance plan contracts and guidelines. Document billing system. Explain bills provides assistance to visitors and patients. Explain policies and departmental coverage as requested. Calculate and according to PRMO credit and collection policies. Implement appropriate 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. 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 reporting purposes. 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 status of the patient. Refer patients to the Manufacturer Drug program as needed for medications. Greet and procedures, and resolves problems. Gathers necessary documentation to support proper handling of inquiries and complaints. Assist with 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" Many are fragmented; we need to make sensible bullet points. We'll try to capture each distinct duty. Let's create bullet list: - Accurately complete patient accounts based on departmental protocol, policies, procedures, and regulatory compliance, including pre-admission, admission, pre-registration, and registration functions. - Ensure all insurance requirements are met prior to patient arrival and inform patients of their financial liability before services. - Arrange payment options with patients and screen for government funding sources. - Analyze insurance coverage and benefits for services to ensure timely processing. - Obtain authorizations based on insurance plan contracts and guidelines. - Document billing system information. - Explain bills and provide assistance to visitors and patients. - Explain policies and departmental coverage as requested. - Calculate and apply PRMO credit and collection policies. - Implement appropriate cash collection processes for all patients. - Reconcile daily third-party sponsorship requirements and process patients according to reimbursement guidelines. - Obtain all required Prior Authorization certifications and/or authorizations. - Facilitate payment sources for uninsured patients. - Determine if a patient's condition results from an accident and research to identify the appropriate liability/payment source. - Admit, register, and pre-register patients with accurate demographic and financial data. - Resolve insurance claim rejections/denials promptly. - Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy. - Perform duties necessary to ensure all accounts are processed accurately and efficiently. - Compile departmental statistics for budgetary and reporting purposes. - Conduct collection actions and assist financially responsible parties in arranging payment. - Make referrals for financial counseling. - Examine insurance policies and third-party sponsorship materials for payment sources. - Inform attending physicians of patient financial hardship. - Complete managed care waiver forms for out-of-network patients receiving reduced-benefit services. - Update the billing system to reflect patient insurance status. - Refer patients to the Manufacturer Drug program for medications as needed. - Greet visitors and patients, and resolve problems. - Gather necessary documentation to support proper handling of inquiries and complaints. - Assist with processes according to policy and procedure. - Enter and update referrals as required. - Communicate with insurance carriers regarding requested clinical information and resolve coverage-related issues. That seems comprehensive. Skills: from KSAs paragraph. Paragraph: "Excellent communication skills, oral and written.Ab