Financial Care Counselor - Duke Cancer Center (Macon Pond)

We need to output HTML fragment with sections: About the role? The posting includes description about Duke Health, mission, etc. We need to identify sections: About the role (maybe intro), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections that have real specific content. Let's parse the posting: - 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." That's about the organization. - 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." That's about the role. - Then "Duke Raleigh ED FCC Work Hours DUHS Commitment Bonus Program $5000.00 (paid in 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 commitment bonus." That's about benefits/commitment bonus. - 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." That's role purpose. - 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 skills/abilities. - 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 qualifications. - Then "Duke is an Equal Opportunity Employer..." that's boilerplate to 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 maybe not needed but could be considered part of requirements? It's generic; but it's not specific content? It's generic but still present. However we should remove boilerplate? It's not cookie/navigation/legal/EEO/equal-opportunity/scam-warning. It's about physical job functions; could be considered relevant but it's generic. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This is not exactly those categories. It's about essential physical job functions. Might be considered part of requirements? But it's vague. I'd keep it maybe under Requirements or Qualifications? But it's not specific. The instruction says: "Prefer a few substantive sections over many thin ones." So we could combine into Requirements/Qualifications. We also have Pay: The commitment bonus $5000.00 (paid in 2 installments over 12 months - 6 month increments). That's a benefit/commitment bonus. Also maybe schedule? Not mentioned besides "Duke Raleigh ED FCC Work Hours" but not clear. There's "Duke Raleigh ED FCC Work Hours" appears as a phrase but no details. Likely it's a heading but no actual schedule details. So we should not create Schedule section because no specific schedule info. Benefits: The commitment bonus is a benefit. Also maybe other benefits not listed. So we can include Benefits section with that detail. Pay: Not explicitly salary. So we should not create Pay section because no salary info. Thus sections: About the role (intro + description of PRMO), Responsibilities (the long list), Qualifications (minimum qualifications), Skills (Knowledge, Skills And Abilities), Benefits (commitment bonus). Possibly also include "Requirements" but we have Qualifications covering education/experience. Could combine Qualifications and Requirements? The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can include both Requirements and Qualifications if we have distinct content. Requirements could be the experience/education; Qualifications could be degrees/licenses/certifications. But we have both: Minimum Qualifications includes education, experience, degrees/licenses/certifications none required. So we could put that under Qualifications. Requirements could be something else? Not present. So we might skip Requirements. Thus output:

About the role

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. 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. 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.

Responsibilities

• 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 screen patients for government funding sources.
• Analyze insurance coverage and benefits for service to ensure timely.
• Obtain authorizations based on insurance plan contracts and guidelines.
• Document billing system.
• Explain bills and provide assistance to visitors and patients.
• Explain policies and departmental coverage as requested.
• Calculate and collect cash payments appropriately for all patients according to PRMO credit and collection policies.
• Reconcile daily necessity of third party sponsorship and process patients in accordance with 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 duties necessary to ensure all accounts are processed accurately and efficiently.
• Compile departmental statistics for budgetary and reporting purposes.
• Perform collection actions and assist financially responsible persons in arranging payment.
• Make referral for financial counseling.
• 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 resolve problems.
• Gather 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.

Qualifications

• 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.
• No specific degrees, licensures, or certifications required.

Skills

• Excellent communication skills, oral and written.
• Ability to analyze relationships with patients, physicians, co-workers and supervisors.
• Ability to perform multiple tasks and work independently.
• Ability to develop and maintain professional, service-oriented working relationships.
• Ability to understand and comply with policies and procedures.
• 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.

Benefits

• Duke Raleigh ED FCC Work Hours DUHS Commitment Bonus Program: $5000.00 (paid in 2 installments over 12 months -