Skip to main content

This job has expired

REIMBURSEMENT SPECIALIST

Employer
Duke University
Location
Durham

View more

Employment Type
Full Time
Institution Type
Four-Year Institution

Job Details

Auto req ID
113973BR
Duke Entity
PRMO
Job Code
4566 REIMBURSEMENT SPECIALIST
Job Description
Occupational Summary

Compile, analyze and report on the performance of departmental operating units, noting trends and making recommendations or conclusions regarding progress.

Work Performed
  • Analyze and provide feedback for departmental specific reports.
  • Utilizes clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve billing inconsistencies.
  • Coordinates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.
  • Assist management in forecasting by providing historical information. Work with departmental directors, managers and appropriate personnel to ensure budgetary compliance.
  • Manage appropriate systems for accounts receivable and/or financial reporting and prepare written reports and analyses for PRMO, DUHS and PDC leadership documenting trends and appropriate recommendations/conclusions.
  • Coordinate communication between insurance companies, governmental agencies, providers and support staff.
  • Trend and report on departmental performance indicators and goals. Ensure departmental goals are satisfied. Make recommendations to improve financial systems; perform in house audits of operating units; analyze deficiencies and report to manager/director.
  • Assist in developing and defining short and long term departmental specific goals and objectives. May be responsible for managing and delegating database inquiries.
  • Creation and development of work assignments including training of employees. Maintain professional relationship with internal and external agencies and professional organizations concerning operations. May serve as liaison between the physicians and the PRMO.
  • May conduct employee quality reviews in support of OER (Overall Effectiveness Rating) performance evaluations, and provide feedback to management and relevant employees. Develop and provide job-specific training to new and existing employees within department. Perform other related duties incidental to the work described herein.
  • Knowledge Skills and Abilities
     
  • Data analysis and reporting
  • Billing/Collections
  • Insurance Claims
  • Microsoft Office (Excel, Access, Word, Powerpoint)
  • Strong verbal and written communication skills
  • Level Characteristics


    Location
    Durham
    Requisition Number
    401605288
    Position Title
    REIMBURSEMENT SPECIALIST
    Shift
    First/Day
    Job Family Level
    D2
    Full Time / Part Time
    FULL TIME
    Regular / Temporary
    Regular
    Department Name
    PROVIDER ENROLLMENT
    Minimum Qualifications
    Education

    High school diploma or equivalent is required, preferably supplemented by post-secondary courses in Accounting, Finance, Economics, Business Administration or a related field.Experience

    Four years of related experience in healthcare is required. A Bachelor's degree in a related field can substitute for the experience requirement.Degrees, Licensures, Certifications

    N/A

    Duke University 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 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.

    Organization

    Read our Diversity Profile History

    Duke University was created in 1924 by James Buchanan Duke as a memorial to his father, Washington Duke. The Dukes, a Durham family that built a worldwide financial empire in the manufacture of tobacco products and developed electricity production in the Carolinas, long had been interested in Trinity College. Trinity traced its roots to 1838 in nearby Randolph County when local Methodist and Quaker communities opened Union Institute. The school, then named Trinity College, moved to Durham in 1892, where Benjamin Newton Duke served as a primary benefactor and link with the Duke family until his death in 1929. In December 1924, the provisions of indenture by Benjamin’s brother, James B. Duke, created the family philanthropic foundation, The Duke Endowment, which provided for the expansion of Trinity College into Duke University.Duke Campus

    As a result of the Duke gift, Trinity underwent both physical and academic expansion. The original Durham campus became known as East Campus when it was rebuilt in stately Georgian architecture. West Campus, Gothic in style and dominated by the soaring 210-foot tower of Duke Chapel, opened in 1930. East Campus served as home of the Woman's College of Duke University until 1972, when the men's and women's undergraduate colleges merged. Both men and women undergraduates now enroll in either the Trinity College of Arts & Sciences or the Pratt School of Engineering. In 1995, East Campus became the home for all first-year students.

    Duke maintains a historic affiliation with the United Methodist Church.

    Home of the Blue Devils, Duke University has about 13,000 undergraduate and graduate students and a world-class faculty helping to expand the frontiers of knowledge. The university has a strong commitment to applying knowledge in service to society, both near its North Carolina campus and around the world.

    Mission Statement

    Duke Science"James B. Duke's founding Indenture of Duke University directed the members of the University to 'provide real leadership in the educational world' by choosing individuals of 'outstanding character, ability, and vision' to serve as its officers, trustees and faculty; by carefully selecting students of 'character, determination and application;' and by pursuing those areas of teaching and scholarship that would 'most help to develop our resources, increase our wisdom, and promote human happiness.'

    “To these ends, the mission of Duke University is to provide a superior liberal education to undergraduate students, attending not only to their intellectual growth but also to their development as adults committed to high ethical standards and full participation as leaders in their communities; to prepare future members of the learned professions for lives of skilled and ethical service by providing excellent graduate and professional education; to advance the frontiers of knowledge and contribute boldly to the international community of scholarship; to promote an intellectual environment built on a commitment to free and open inquiry; to help those who suffer, cure disease, and promote health, through sophisticated medical research and thoughtful patient care; to provide wide ranging educational opportunities, on and beyond our campuses, for traditional students, active professionals and life-long learners using the power of information technologies; and to promote a deep appreciation for the range of human difference and potential, a sense of the obligations and rewards of citizenship, and a commitment to learning, freedom and truth.Duke Meeting

     “By pursuing these objectives with vision and integrity, Duke University seeks to engage the mind, elevate the spirit, and stimulate the best effort of all who are associated with the University; to contribute in diverse ways to the local community, the state, the nation and the world; and to attain and maintain a place of real leadership in all that we do.”

    Get job alerts

    Create a job alert and receive personalized job recommendations straight to your inbox.

    Create alert