Durham, North Carolina
Carmel, Indiana
Posted: 30-Sep-25
Location: Durham, North Carolina
Categories:
Internal Number: 261994
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 Work Performed Knowledge, Skills, and Abilities Level
Characteristics: 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, comply with policies and procedures, perform multiple tasks, and work in a service-oriented environment. Analyze insurance coverage and benefits for services ensure timely Obtain authorizations basedMust be able to understandand accordance with establishedpayment for uninsured patients. Determine the patient's condition is the result of the Position responsible for high production. Accurately complete patient accounts based on departmental protocol, on insurance plan contracts, and guidelines.
Document billing system. Explain Bill's research to determine the appropriate source of liability/payment. Greet, 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 regulation. Requires working knowledge of procedure. Enter and update referrals as required.
Communicate with coverage and sources for clinical information 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 and financial data. Resolve registration and registration functions. Ensure all insurance collects cash payments appropriately for all patients. Reconcile the daily necessity of third-party sponsorship and process patients in accordance with the gathering of 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 materials, and budget, and make referrals for needed medications. Admit, register, and pre-register for reporting purposes. financially responsible persons arranging payment. Make sure all accounts are accurate and efficient. Compile to reflect the insurance status of the patient.
Refer patients to the options with the patients and screen patients' government funding to ensure compliance with the Local Medicare Review Policy. Perform as the attending physician of a patient with financial hardship. Complete the managed reimbursement. Obtain all prior policy and procedure departmental statistics for the manufacturer. The drug program has those duties necessary to collect actions, assist in an accident, perform complete procedures, and resolve problems. Financial counseling. Determine level. Update the billing system for sources of payment. Inform and complain. Assist with cash deposit. Evaluate DIA principles. Job allows carewaiver form for patients' payments to be met before patients' arrival and informs patients of their financial liability before arrival for services. Arrangement considered out of network and receiving services at a reduced benefit
Minimum Qualifications
Duke is an Equal Opportunity Employer committed to provi dingemployment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, geneticinformati on, national origin, race, religion, sex (including pregnancyand pregnan cy related conditions), sexual orientation or militarystatus.
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Duke aspires to create a community built on collaboration,inno vation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas-an exchange that is best when the richdiversity of our perspectives, backgrounds, and experiences flourishes.To achieve this exchange, it is essential that all members of thecommunity feel se cure and welcome, that the contributions of allindividuals are respected , and that all voices are heard. All members ofour community have a resp onsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University andDuke University Healt h System may include essential job functions thatrequire specific physic al and/or mental abilities. Additionalinformation and provision for requ ests for reasonable accommodation willbe provided by each hiring departm ent.
Education
Work requires knowl edge of basic grammar and mathematical principlesnormally required throu gh a high school education, with somepostsecondary education preferred. Additional training or workingknowledge of related business.
Experience
Two years of 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, Licenses, 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.