La Grande, Oregon
Omaha, Nebraska
Elon, North Carolina
La Grande, Oregon
Los Angeles, California
Orange, California
Albany, New York
Minneapolis, Minnesota
Posted: 07-May-25
Location: Durham, North Carolina
Internal Number: 256167
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.
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.
Occ Summary
Excellent communication skills, oral and written. Ability to analyze Analyze insurance coverage and benefits for service to ensure problems. Obtain authorizations in accordance with payment. data, perform multiple tasks, and service-oriented working. Greet and provide assistance to visitors and patients. Explain policies and Calculate and, according to PRMO, credit and collection policies. Implement appropriatework independently. Must be able to develop and maintain professional relationships with patients, business processes or regulation. Requires working knowledge of uninsured patients. Determine if the patient's condition is the result of research to determine the appropriate source of liability/payment. according to policy and sources. clinical information requested and to resolve issues ting to Facilitate payment sources financially responsible persons in arranging payment.
Make referrals to insurance carriers regarding authorization certification and/or authorizations as appropriate. Insurance claim Examine insurance policies and other third-party sponsorship materials needed for medications. Systematically collect cash payments appropriately for all patients. Reconcile daily to ensure all accounts are processed accurately and efficiently. Compile Admit, register and pre-register for arrival for services. Arrange payments for patients with accurate patient demographic and financial data. Resolve with policy and procedure. Manufacturer Drug program arrival and informing patients of their financial liability prior to attending a physician for patient financial hardship. Complete the departmental statistics, those duties necessary policies and procedures, and consider out-of-network and receiving services at a reduced benefit for physicians, c o-workers and supervisors. comply with policies and responsible for high production generated accurately in Accurately complete patient accounts based on protocol and on insurance contracts, and remedy rejections/denials expeditiously. Enter and update reference guidelines. Document billing Explain departmental coverage and arrears as required.
Communicate with coverage and registration functions. Ensure all insurance of third-party sponsorship cess patients in accordance Gathers necessarydocumentation to supportpro per handling of inquiries pre-admission, admission, pre-budgetaryand rep ortingpurposes. to reflect the insurance status of the patient. Refer patients to the options with the patients and screen patients for government funding to ensure compliance with the local Medicare review policy. Perform compliance with regulatory agencies, to include but not be limited to requirements that are met prior to patients reimbursement. Obtain all prior accident reports and perform a complete cash deposit. Collection actions and diagnoses assist financial counseling. Determine sources of payment. Informcare waiver form level. Update the billing procedures and resolve complaints. Assist Must be able to understand compliance principles. The job allows the opportunity to work independently.
Minimum Qualifications
Duke is an affirmative action/equal opportunity employer committed providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identit y, information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. O ur collective success depends onthe robust exchange of ideas-an exchange that is best when the richdiversity of our perspectives, backgrounds, a nd experiences flourishes.To achieve this exchange, it is essential that all members of thecommunity feel secure and welcome, that the contributions ions of individuals are respected, and that all voices are heard. All members our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University Duke University Health System may include essential job f unctions require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
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 of experience working in hospital service access, service access, physicia n office or billing and collections. Or, an associate's degree in a healthcare-related field and one year 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 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.