REVENUE CYCLE SPECIALIST
PRMO:, established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke PrimaryCare. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire an experienced Revenue Cycle Specialist who will embrace our mission of Advancing Health Together.
The Revenue Cycle Specialist performs various complex functions related to the revenue cycle operations. This will include all ancillary departments of the PRMO and will involve refining existing processes related to revenue cycle activities and supporting overall revenue cycle goals. This job is reserved for the PRMO Operational Staffing (Float) Pool. This position will report to manager of Operational Staffing Pool.
The Revenue Cycle Specialist will provide coverage and serve as a temporary resource in various areas of the revenue cycle. Specific assignments will be managed by PRMO Operational Staffing Pool office. Under general supervision, the Revenue Cycle Specialist provides patient revenue management support throughout the revenue cycle, to include but not limited to: Incoming Call Center, Billing and Collections, Cash Management and Payment Posting, Scheduling, Pre-Registration and Charge Capture. The Revenue Cycle Specialist will initiate and develop relationships with customers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction. Level I :Level I assignments are transactional and productivity-based. Specific job duties may include one or more of the following: Answer and resolve in bound inquiries and issues regarding patient account statements, explanation of benefits, balance due, and other patient and insurance billing scenarios; Billing- sending out claims and patient statements for reimbursement; Scheduling inpatient and outpatient appointments, pre-registration of patients prior to service; Cash management and payment posting; Charge correction, credit balance review and processing, and collection of accounts.
Level II: In addition to the responsibilities of a Level I, Level II assignments also include financial and trend analysis work, including one or more of the following: Low payment monitoring and resolving of outstanding balances; Reconciliations of cash accounts; Provider enrollment; Self pay analysis; Trend analysis of account receivables; Denials review and resolution. 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. Ability to work well with others - strong teamwork skills, strong patient accounting systems knowledge and skills. Must be flexible and able to function in a work environment where work and schedules may change to meet the needs of the customer.
Level Characteristics: Ability to work in a stressful environment and tactfully handle sensitive issues; ability to present a calm, professional manner and to tolerate a wide range of working conditions and personalities; ability to multitask; ability to maintain a sense of order in a busy environment; ability to provide good internal and external customer relations. Advanced knowledge of revenue cycle operations Requires good communication skills, both written and verbal. Understands the impact of patient registration on the financial revenue cycle. Requires knowledge of patient accounting systems applications.
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education. Completion of a bachelor’s degree program in accounting or business related field preferred.
A minimum of five years’ experience in healthcare revenue cycle operations or support is required. Working knowledge of the IDX, Siemens Invision and Meditech patient account systems preferred. OR EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND EXPERIENCE
Degrees, Licensures, Certifications
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