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.

REMOTE POSITION: Monday - Friday

*** MUST RESIDE IN NORTH CAROLINA***

General Description of the Job Class:

Under minimum supervision, performs a variety of billing functions utilizing the knowledge and skills related to patient accounts of the Duke University Health Systems.   Responsible for review, research, analyzing and bringing resolution to billing and coding trends to enhance reimbursement.

Duties and Responsibilities of this Level:

·         Analyze medical documentation to determine proper coding principles

·          Review, research and resolve complex system edits and other billing functions to ensure proper billing and coding guidelines are met

·         Assist with some training of new and/or existing employees on current and future billing systems, federal, state and local government rules and regulations, and various payer guidelines

·         Serve as a liaison with various areas within the Health System to identify and resolve complex billing and coding errors and trends

·         Participate in continuous educational seminars in regards to keeping up to date on billing/payer regulations.

·         Utilize relevant references and/or resources (CP T, ICD, HCPCS, UB codes and other reimbursement documentation requirements for various third party payers)

·         Demonstrate effective verbal and legible written communications and interpersonal skills with associates, community and other customers

·         Knowledge of the core systems that interface information to the billing systems

·          Assist in testing of upgrades of software applications

·         Ensure strict confidentiality of patient medical and financial records, in compliance with federal, state and DUHS guidelines

·         Follow established departmental policies, procedures and objectives.

·         Work Maestro Car e and SSI billing edits for appropriate billing.

TeamSupport

·         Identify trends having a negative impact on billing or account receivables and present account examples, documentation and recommendations for change improvement

·         As requested by management, provide support to other employees within team or on another team to address inventory backlogs or staffing shortages

·         Other duties as assigned

Required Qualifications at this level:

Education:      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

Experience:   Work requires a minimum of 2 years of healthcare experience, with a focus on hospital/professional billing and collections.

Knowledge, Skills, and Abilities:

·         Working knowledge of Managed Care contracting and payment schedules

·         Excel lent communication skills, oral and written

·          Ability to systematically analyze problems, draw relevant conclusions and devise appropriate course of action

·         Ability to analyze data, perform multiple tasks and work independently

·         Must be able to develop and maintain professional, service-oriented working relationships with senior leadership, patients, physicians, co-workers and employees.

·         Ability to work in a fast-paced environment, with focus on team building

·         Experience with patient account billing systems

System Experience:

·         Epic - Preferred

·         Word - Required

·         Excel - Required

·         PowerPoint - Preferred

·         SSI - Preferred

Distinguishing Characteristics of this Level:

The successful candidate will possess a wide range of personality traits, work habits, communication and social skills necessary to perform and work effectively within the corporate environment. This person will have both personal and professional integrity, strong communication skills and a professional appearance and presentation. In addition, the qualified candidate will have a strong desire to succeed in a challenging environment.

Other competencies and best practices for high performers include:

·         Integrity and compliance: Can be relied upon to act ethically, to safeguard confidential information and to adhere to the Hospital's Mission and Code of Conduct and all legal and regulatory requirements

·         Decision-making: Makes quality decisions in a timely manner

·         Coaching and developing others: Guides others in performing effectively and provides others with development opportunities; provides direction without moving responsibility and allows others to determine the best approach to executing assignments

·        Team Building: Demonstrate solid skills in working with a large diverse workforce in a complex operating environment

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.

Logo

About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

Connections working at Duke University Health System

More Jobs from This Employer

https://jobs.healthcareercenter.com/jobs/20942707/patient-account-associate-hbc-government-remote