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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.

Occ Summary Accurately complete patient accounts based on departme ntal protocol,policies and procedures,and compliance withregulatory agen cies, to include but not limited to pre-admission,admission, pre-registr ation andregistration functions.Ensure all insurance requirements are me t prior to patients' arrivaland inform patients of theirfinancial liabil ityprior toarrival for services. Arrange payment options with the patien tsandscreens patients forgovernment funding sources. Work Performed Anal yze insurance coverage and benefits for service to ensure timely Obta in authorizations basedpayment.on insurance plan contracts and guideline s. Document billing systemExplain billsprovides assistance to visitors a nd patients. Explain policies anddepartmental coverage asrequested.Calcu late andaccording to PRMO credit and collection policies. Implement appr opriatecollect cash paymentsappropriately for allpatients. Reconcile dai ly necessity of third party sponsorship andprocess patients in accordanc ereimbursement. Obtainall Prior Authorization Certification and/or autho rizations asappropriate. Facilitate paymentsources for uninsuredpatients .Determine if patient's condition is the result of an accidentand perfor m completeresearch to determine theappropriate source of liability/payme nt. Admit, register andpre-register patients with accuratepatient demogr aphic andfinancial data. Resolve insurance claim rejections/denials andr deposit. Evaluate diagnoses to ensure compliancewi th the LocalMedicare Review Policy.Perform those dutiesnecessary to ensu re all accounts are processed accurately andefficiently. Compile departm entalstatistics for budgetaryand reporting purposes.collection actionsan d assist financially responsible persons inarranging payment. Make refer ralfor financial counseling.Determine with policy and procedure. Examine insurancepolicies andother third partysponsorship materials for sources of payment. Inform attending physician of patient financial hardship.Com plete the managed carewaiver form for patientsconsidered out of network and receiving services at a reduced benefitlevel. Update the billingsyst em to reflect theinsurance status of the patient. Refer patients to the ManufacturerDrug program as needed formedications.Greet andprocedures, a nd resolves problems. Gathers necessary documentation tosupport proper h andlingof inquiries andcomplaints. Assist with according to policy and p rocedure. Enter andupdate referrals as required.Communicate withinsuranc e carriers regarding clinical information requested and toresolve issues relating tocoverage and Knowledge, Skills and Abilities Excellent commu nication skills, oral and written. Ability to analyzerelationships with patients,physicians, co-workersandsupervisors. data, perform multiple t asks and work independently.Must be able to developand maintainprofessio nal, service-oriented workingMust be able to understand and comply with policies and procedures. Level Characteristics Position responsible forhigh production generated accurately inaccordance with establishedbusine ss processes orregulation. Requires working knowledge of compliance prin ciples. Joballows the opportunity towork independently.

Minimum Qualifications


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.


Two years 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, 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.


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.”

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