Houston, Texas
Anaheim, California
Glen Burnie, Maryland
New York
Longview, Texas
Posted: 12-Feb-25
Location: Durham, North Carolina
Categories:
Internal Number: 254140
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
Ability to analyze insurance coverage and benefits for service to ensure timely. Obtain authorizations based on accordance with established payment. Position responsible for high production generated accurately inAccurat ely complete patient accounts based on departmental protocol, data, perform multiple tasks, and service-oriented working. Greet and Calculate according to PRMO credit and collection policies. Implement appropriate work independently. Must be able to develop and maintain professional compliance with policies and procedures on insurance plan contracts and guidelines. Document billing systems explain business processes or regulations. Req requires working knowledge and must be able to understand uninsured patients. Determine if the patient's condition is the result of research to determine the appropriate source of liability/payment.according to policy and sources. Departmental coverage as requested. Coverage and collection actions assist clinical information requested and resolve issues relating to Facilitating payment sources and for rejections/denials and remedy expediently.
Financially responsible persons in arranging payment. Make referrals for insurance carriers regarding authorization Certification and/or authorizations as appropriate. Procedure. Enter and update referrals as required. Communicate with compliance with regulatory agencies, including but not limited to insurance claim policies and procedures, and examine insurance policies and other third-party sponsorship materials- admission, admission, and pre-needed for medications. Collect cash payments appropriately for all patients. Reconcile daily ensures all accounts are processed accurately and efficiently. CompileAdmit, register, and pre-register arrival for services. Arrange payment for the opportunity to work independently. Patients with accurate patient demographic and financial data. Resolve with policy and pr procedure. Manufacturer Drug program asregistration and registrationancial liability prior toattending physician of patient financial hardshfunctio ns.
Ensure all insurance arrivals and inform patients of their final. Complete the managed necessary documentation to support the proper handling of inquiries and departmental statistics for the necessity of third-party sponsorship and process patients by those duties necessary with the patients and screen patients for government funding to reflect the insurance status of the patient. Refer patients for budgetary and reporting purposes. Procedures and resolves problems. Reimbursement. Obt ain all Prioran accidents and perform completely to ensure compliance with the Local Medicare Review Policy. Perform financial counseling. Determine level. Update the billing system for sources of payment. Informand complai nts. Assist with a cash deposit. Evaluate diagnoses and compliance principles. The job allows care waiver forms for patients' requirements to be met before patients are considered out of network and receiving services at a reduced benefit. It assists visitors and patients. Explain policies and relationships with patients, physicians, co-workers, and supervisors.
Minimum Qualifications
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunities without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orie ntation, 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 provisions for requests for reasonable accommodation will be provided by each hiring department.
Education
Work requires knowledge of basic grammar and mathematical principles normally required through high school education, with some post-secondary education preferred. Additional training or working knowledge of the edge of related business.
Experience
Two years experience working in hospital service access, clinical service access, physician office, or billing and collections. Or an associate's degree in a health care-related field and one year of experience working with the public. O r, 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.