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Posted: 26-Nov-24
Location: Durham, North Carolina
Categories:
Internal Number: 252149
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.
Wednesday Nights Fri-Sun, 6 pm-6:30 am
This position supports the Duke ED, which is a Level 1 trauma center that operates 7 days a week, 24 hours a day. The PRMO is responsible for ensuring all patients who are present are registered timely and proficiently. The DUH ED sees an average of over 6,000 patients per month. This request is to fill a budgeted FCC position that became vacant on 8/3/18. These FCC hours will be 6 p.m.-6 a.m., Friday through Sunday, and are responsible for arriving patients, trauma patients, and EMS patients and completing full registrations at bedside, eligibility and benefit verification, POS collections, reconciliation of daily collections, work queues to include patient and claim edits, and admission functions for DUH ED and all hospital admissions after North closes. Cover for HIM after hours and schedule appointments for cardiology and orthopedic patients. Not filling this position may adversely impact DUH ED due to delays in registration times, reduced collections, WQ backlogs, and a reduction in work culture. Work Performed Knowledge, Skills, and Abilities Level CharacteristicsExcellent communication skills, oral and written. Ability to analyze relationships with patients, physicians, co-workers, and supervisors. Work independently. Must be able to develop and maintain professionalism and comply with policies and procedures. Data, performing multiple tasks and service-oriented working Analyze insurance coverage age and benefits for service to ensure timely Obtain authorizationsbasedMUST be able to understand and accordance with established payments. Position responsible for high production generated accurately in uninsured patients. Determine if the patient's condition is the result of Accurately completed patient accounts based on departmental protocol, insurance plan contracts, and guidelines. Document billing system Explain research to determine the appropriate source of liability/payment. Greet calculate, and assist visitors and patients. Explain policies and departmental coverage as requested. According to policy and according to PRMO credit and collection policies.
Implement appropriate rejections/denials and redefine the procedure. Enter and update referrals as required. Communicate with you promptly. Business processes or regulation. It requires working knowledge, expertise, and resources. Clinical information requested and to resolve issues relating to Facilitate payment sources for insurance insurance carriers regarding authorization Certification and/or authorizations as appropriate. Insurance policies and procedures, and compliance with regulatory agencies, including but not limited to patients with accurate patient demographic and financial data. Resolve registration and registration functions. Ensure the necessity of third-party sponsorship and process patients in accordance Gather the necessary documentation to support proper handling of the inquiry's opportunity to work independently. Pre-admission, admission, pre-exam insurance policies, and other third-party sponsorship materials for budgetary and reporting purposes. Financially responsible persons in arranging meant. Make referrals for needed medications. Admit, register, and pre-reg to ensure all accounts are processed accurately and efficiently. Compi Leto reflects the insurance status of the patient. Refer patients to the to ensure compliance with the Local Medicare Review Policy. Perform options with the patients and screen patients for government funding, attending physicians of patients financial hardship. Complete the managed reimbursement. Obtain all prior policies and procedures. Arrival for services. Arrange payment arrival and inform patients of their financial liability before departmental statistics for the manufacturer drug program, as those duties are necessary for collection actions, assisting an accident, performing complete procedures, and resolving problems. financialcounseling. Determinelevel. Update the billing system for sources of payment. Informand complaints. Assistance with the cash deposit. Evaluatediagnosescompliance principles. The job allows care with a patient's requirements are met before patients collect cash payments appropriately for all patients for reconciling daily consideration out 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 experience working in hospital service access, clinical service access, the physician's 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, 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.