Financial Care Counselor - Duke Pain Medicine Clinic
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have an "About the role" section describing the role and 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." This is about the organization.
- 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." This is about Benefits (commitment bonus) and maybe Pay? It's a bonus, not base pay. Could be Benefits.
- 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." This is role description.
- 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 (Skills section). Also Level Characteristics maybe part of Requirements? Could be Requirements.
- 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 (Education/Experience). Could be Requirements.
- Then EEO boilerplate etc 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." This is generic boilerplate; we should remove as it's not specific.
Thus we have sections:
- About the role: could combine intro and description of PRMO organization.
- Responsibilities: the long list.
- Qualifications: Minimum Qualifications (Education, Experience, Degrees etc).
- Skills: Knowledge, Skills And Abilities (communication, analysis, etc). Also Level Characteristics maybe part of Skills? Could be separate but we can include under Skills.
- Benefits: Commitment Bonus Program details.
- Pay: Not specified base salary; only bonus. The instruction: never create Pay/Schedule/Benefits sections unless posting actually states them. It does state commitment bonus, which is a benefit, not base pay. So we can have Benefits section with that. Pay section not present, so omit.
- Schedule: Not mentioned; there is "Duke Raleigh ED FCC Work Hours" but not specific hours; it's just phrase. Not specific schedule. So omit Schedule.
Thus output HTML with About the role
etc.
We need to preserve all substantive info; not invent or summarize away detail. Must not repeat job title. Must not include boilerplate.
We need to format lists with - for any list of duties/requirements/benefits. For prose use
.
We need to decide what is a list: The responsibilities are many sentences; could be turned into list items. The qualifications could be list. Skills could be list. Benefits could be list (just one item). Ensure we keep all details.
Let's extract responsibilities sentences clearly.
Original responsibilities text (some garbled). Let's copy and split by periods.
"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"
Some sentences are fragmented but we keep as is.
We'll make each as
- .
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"
We can make list items.
Skills: 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."
We can split into list items.
Benefits: "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."
We need to preserve that exactly. Might be two parts: Work Hours unspecified; but we can include as is.
We could separate: "Duke Raleigh ED FCC Work Hours" maybe not specific; but it's part of posting. We'll keep as a sentence.
Thus Benefits section:
- 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.
But maybe combine into one li.
Better to keep as one paragraph? The instruction: Use - for any list of duties/requirements/benefits. So if we have multiple benefit items, we list them. We have two items: Work Hours and Commitment Bonus. We'll list both.
Now About the role: combine intro and PRMO description.
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."
PRMO description: "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
. We need to decide what is a list: The responsibilities are many sentences; could be turned into list items. The qualifications could be list. Skills could be list. Benefits could be list (just one item). Ensure we keep all details. Let's extract responsibilities sentences clearly. Original responsibilities text (some garbled). Let's copy and split by periods. "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" Some sentences are fragmented but we keep as is. We'll make each as
- 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.
- for any list of duties/requirements/benefits. So if we have multiple benefit items, we list them. We have two items: Work Hours and Commitment Bonus. We'll list both. Now About the role: combine intro and PRMO description. 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." PRMO description: "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