Houston, Texas
Easton, Maryland
Los Angeles, California
Posted: 03-Jul-25
Location: Durham, North Carolina
Categories:
Internal Number: 259018
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.
- Excellent communication skills, oral and written.
- Ability to analyze relationships with patients, physicians, coworkers, and supervisors. Work independently.
- Must be able to develop and maintain professional relationships and comply with policies and procedures, perform multiple tasks, and be service-oriented.
- Analyze insurance coverage and benefits for service to ensure timely authorization.
- Must be able to understand and comply with established payment and uninsured patients.
- Position responsible for high production generated accurately.
- Accurately complete patient accounts based on departmental protocol and insurance plan contracts and guidelines.
- Document the billing system.
- Explain Bill's research to determine the appropriate source of liability/payment.
- Greet and calculate, and provide assistance to visitors and patients.
- Explain policies and departmental coverage as requested. According to policy and according to PRMO credit and collection policies.
- Implement appropriate rejections/denials and remedy expediently. Business processes or regulations.
- Requires working knowledge of the procedure.
- Enter and update referrals as required.
- Communicate with coverage and sources.
- Clinical information is requested to resolve issues relating to facilitating payment sources for insurance carriers regarding authorization.
- Certification and/or authorizations as appropriate. Insurance claim policies and procedures and compliance with regulatory agencies, to include but not be limited to patients with accurate patient demographic ration functions.
- Ensure all insurance collection and financial data.
- Resolve registration and registration payments appropriately for all patients.
- Reconcile the daily necessity of third-party sponsorship and process patients in accordance.
- Gathers necessary documentation to support proper handling of inquiries and the opportunity to work independently, pre-admission, admission, pre-examine insurance policies, and other third-party sponsorship material for budgetary and reporting purposes. Financially responsible persons in arranging payment.
- Make referrals for needed medications.
- Admitting, registering, and pre-registering ensure all accounts are processed accurately and efficiently.
- Compile 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 attending physician for patient financial hardship.
- Complete the management reimbursement.
- Obtain all prior policies and procedure. Arrival for services.
- Arrange payment arrival and inform patients of their financial liability before departmental statistics for the manufacturer's Drug program, as those duties are necessary to collect actions and assist in an accident, perform complete procedures, and resolve problems. Financial counseling.
- Determine level.
- Update the billing system for sources of payment.
- Informing complaints.
- Assist with cash deposit.
- Evaluated diagnoses compliance principles.
- Job allows care waiver form for patients whose requirements are met before patients being considered out of network and receiving services at a reduced benefit
Minimum Qualifications
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.
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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 se cure 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 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.
Education
Work requires knowledge of basic grammar and mathematical principles normally acquired 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, clinical service access, physician offices, 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 onthe 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 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.