Jobloria
Financial Care Counselor
Duke University
Location : Cary, NC, 27513
Job Type : Full Time
Date Posted : 1 December 2025
Financial Care Counselor - Duke Health Cary Suite 320
Cary, NC, US, 27519
About Duke Health's Patient Revenue Management Organization
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.
ONSITE POSITION: Monday - Friday (8:00 AM - 4:30 PM)
Occ Summary
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 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. Calculate and collect cash payments appropriately for all patients. Reconcile daily cash deposit. 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. Explain bills according to PRMO credit and collection policies. Implement appropriate collection actions and assist financially responsible persons in arranging payment. Make referral for financial counseling. Determine necessity of third party sponsorship and process patients in accordance 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 provides assistance to visitors and patients. Explain policies and procedures, and resolves problems. Gathers necessary documentation to support proper handling of inquiries and complaints. Assist with departmental coverage as requested. Obtain authorizations based on insurance plan contracts and guidelines. Document billing system 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 and payment.
Knowledge, Skills and Abilities
Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. 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.
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
Nearest Major Market:Raleigh
Freqently Asked Questions
Excelling as a Financial Care Counselor in Cary, NC requires strong analytical abilities, mastery of insurance protocols, and empathetic communication to guide patients through financial complexities. Familiarity with local healthcare policies and patient billing systems enhances effectiveness in this specialized role.
Daily tasks involve verifying patient insurance details, securing prior authorizations, resolving claim denials, and assisting patients with payment plans. Handling demographic data accurately and coordinating with clinical staff to address financial concerns are also key components of the role.
Opportunities include progressing into senior financial counseling roles, healthcare administration, or specialized revenue cycle management positions. Gaining certifications and deepening knowledge of healthcare finance can lead to leadership or advisory capacities within medical institutions.
At Duke University, Financial Care Counselors benefit from integrated revenue cycle systems and collaborative environments, enhancing skill development in patient financial services. Access to Duke’s extensive healthcare resources fosters professional growth tailored to complex hospital billing needs.
Due to Duke’s centralized revenue management structure, counselors navigate a higher volume of complex insurance cases and multi-department coordination. Staying current with Duke’s policies and regional payer requirements is crucial for efficient patient financial counseling.
In Cary, Financial Care Counselors typically earn between $45,000 and $60,000 annually, reflecting local healthcare market standards. Factors influencing pay include experience, education, and the complexity of healthcare facilities like Duke University.
The Raleigh-Cary region shows steady demand for financial care professionals due to expanding healthcare services. Candidates with experience in hospital billing, insurance navigation, and patient counseling generally find favorable hiring prospects.
Many assume this role solely involves billing, but it also demands emotional intelligence to support patients facing financial hardship. Counselors act as advocates, helping patients understand complex insurance terms and exploring assistance programs.
Counselors communicate directly with insurers to clarify coverage, resolve claim denials, and obtain authorizations. This liaison role ensures accurate billing and timely reimbursements, which is vital for maintaining Duke Health’s revenue integrity.
Prospective applicants should evaluate commute options, as Cary offers accessible transportation but varying traffic patterns. Awareness of regional payer mixes and state healthcare regulations also enhances readiness for financial counseling roles here.
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