Requisition Number:  254604

Regular or Temporary:  Regular

Location: 

Durham, NC, US, 27710

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.

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's 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.

Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Patient Financial Coordinator who will embrace our mission of Advancing Health Together.

The Transplant Financial Coordinator (TFC ) is part of a multidisciplinary team charged with the responsibility of providing accurate and professional financial clearance to patients seeking Transplant Services at Duke. The TFC is responsible for verifying accurate demographic and financial information and knowledgeable in the review and interpretation of insurance benefits, performs financial counseling, and financial screening.  Establish financial arrangements, refers appropriate cases to other agencies, internal and external, to assist patients with discharge/post hospital care.  Interacts closely with Utilization Review and Transplant Billing to ensure correct and timely reimbursement.

In this role you will coordinate administrative services and operations for transplant financial services. Coordination and communication with the patient and clinical team including physicians, nurses, social workers and pharmacists is key for the successful financial analysis and clearance.  Attend weekly and monthly required meetings, maintain transplant work queue’s, and all other tasks and administrative duties as assigned.

The Transplant Financial Coordinator has a hybrid schedule Monday through Friday 8:00 am to 4:30 pm as well as being part of the Transplant On-call team when scheduled, which includes working after hours remotely Monday through Friday 4:30pm – 8:00am, holidays and rotating weekends

Work is performed under the direct supervision of the Transplant Financial Services Supervisor and/or Financial Services Manager with administrative direction provided by the Financial Services Director

Primary Duties and Responsibilities

Process referrals for transplant evaluation/Insurance Verification/Clininal Coordination:

Data Maintenance and Billing Information (Transplant specific):

Patient Identification / Pre-registration:

Interview Patients / Provide Financial Counseling:

Obtaining Authorization and Prior Approval:

Customer Service:

• Gathers necessary documentation to support proper handling of in quiries/complaints
• Courtesy and professional conduct is maintained at a ll times
• Provides timely and effective service to internal customers

Case Management (Transplant):

• Set the next review date in the transplant registration screen to trigger the next period financial verification
• Request updates to the effective and termination dates of the transplant approval when expired
• Review outpatient appointments for active transplant registered patients and resolve any issues related to coverage and payment
• Identify operational improvements to maximize efficiency and effectiveness of services provided
• Communicate opportunities to management
• Perform other related duties incidental to the work described herein

Level Characteristics

On occasion overtime or weekend work may be required. Position may be subject to responding to urgent or emergent transplant team requests.

High School Diploma required. Advanced degree preferred.

Experience

Three years of healthcare experience with a minimum of one year ininsurance verification, authorization, or billing experience required.  One year of experience with a transplant or chemo therapy program preferred.

Position may be subject to membership with the Transplant Financial Coordinators Association (for Transplant team)and may be subject to certification with TFCA.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob 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.