Financial Counselor Jobs in Durham, NC
Financial Counselor jobs in Durham are in steady demand, concentrated in Research Triangle Park, downtown Durham, and the South Square corridor across healthcare systems, universities, and nonprofit credit services. Employers hiring right now include Duke Health. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 22+ Financial Counselor jobs
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 Hospital Periop
Financial Care Counselor
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.
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.
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
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.
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
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.
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.
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 Hospital Periop
Financial Care Counselor
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.
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.
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
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.
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
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.
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.
See All 22 Financial Counselor Jobs in Durham
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Find Financial Counselor JobsFinancial Counselor Job Market in Durham
Who's Hiring
Financial Counselor Jobs in Durham: Frequently Asked Questions
How do I get a financial counselor job in Durham?
The strongest hiring comes from Durham's healthcare networks, Duke University, and nonprofit credit counseling agencies clustered downtown and near Research Triangle Park. Candidates with experience in patient financial services, student loan counseling, or nonprofit debt management stand out in this market. Tailoring your application to the specific sector, whether hospital billing, higher education, or community finance, gives you a clear edge over generalist applicants.
Which companies hire financial counselors in Durham?
Durham financial counselor roles are posted by Duke Health and others right now, based on current listings on Migrate Mate as of September 2026. Durham's employer mix leans heavily toward academic medical centers, research institutions, and community development financial organizations, reflecting the city's strengths in healthcare and higher education.
Are there remote financial counselor jobs in Durham?
Yes, though availability depends on the specialty, with patient-facing hospital roles requiring on-site presence while debt management and financial coaching positions tend to be more remote-friendly. About 0% of financial counselor openings tied to Durham are remote or hybrid as of September 2026, with the highest share in nonprofit credit counseling and university financial wellness programs.
How can I get a financial counselor job in Durham with little or no experience?
The most realistic entry path in Durham is through hospital financial counseling departments, which regularly hire for patient access and billing support roles that serve as direct on-ramps. Duke Health and other Durham healthcare employers often bring on entry-level candidates as financial clearance representatives or patient service coordinators. Volunteering or interning with Durham's nonprofit credit unions or community development organizations also builds the case file and client interaction experience that gets you to a full counselor role faster.
Related Jobs in North Carolina
See All 22 Financial Counselor Jobs in Durham
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