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Posted: 21-Jul-24
Location: Durham, North Carolina
Salary: Open
Categories:
Internal Number: 246858
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.
Duke Raleigh Emergency Department Weekends: Friday, Saturday, and Sunday, 7:00 p.m.-7:30 am.
OCC Summary Work
Ability to analyze insurance coverage and benefits for service to ensure timely obtaining of authorizations based on established relationships with patients, physicians, co-workers, and supervisors. Position responsible for high production generated accurately inAccurately complete patient accounts based on departmental protocol and data, perform multiple tasks, and be service-oriented while working great and provide assistance to visitors and patients. Explain policies, calculate them, and adhere to PRMO credit and collection policies. Implement the appropriate work independently. You must be able to develop and maintain professionalism and comply with policies and procedures on insurance, please see contracts and guidelines.
Document billing systems explain the bills' processes or regulations. It requires working knowledge to be able to understand uninsured patients. Determine if the patient's condition is the result of research to determine the appropriate source of liability or payment according to policy and sources. departmental coverage as requested. Collect and collect actions, assist with clinical information requested, resolve issues relating to facilitating payment sources for rejections and denials, and remedy expediently-financially responsible persons in arranging payment. Make referrals for insurance carriers regarding authorization certificates and authorizations as appropriate. Compliance with regulatory agencies, including but not limited to procedure. Enter and update references as required. Communicate with insurance claim policies and procedures and examine insurance policies and other third-party sponsorship matters, such as pre-admission, admission, and pre-needed medications. collect cash payments appropriately for all patients. Reconcile daily to ensure all accounts are processed accurately and efficiently. The opportunity to work independently. patients with accurate patient demographics, register and pre-register for services. Arrange payment and financial data. Resolve the manufacturer's drug program as per policy and procedure for registration and registration functions. Ensure all insurance arrivals and inform patients of their financial liability before seeing a physician for economic hardship.
Complete the manager's necessary documentation to support the proper handling of inquiries and departmental statistics due to the necessity of third-party sponsorship and processing patients in accordance with those duties necessary to options with the patients and screen patients for government funding to reflect the insurance status of the patient. Refer participants to the budget and reporting purposes procedures, and resolve problems through reimbursement. Obtain all prior accidents and perform a complete review to ensure compliance with the Local Medicare review policy. Perform financial counseling. Determinelevel. Update the billing system for payment sources of payment. Informand complaints. Assist with the cash deposit. Evaluate diagnoses according to compliance principles. Job Allowance waiver form for Patients Requirements are met prior to patients' consideration of network and receiving services at a reduced benefit
Minimum Qualifications
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
Two years of experience working in hospital service access, clinical service access, physician office 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, licenses, and 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.