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Posted: 18-Jan-25
Location: Durham, North Carolina
Categories:
Internal Number: 253573
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 Nursing Highlights:
- Duke University Health System is designated as a Magnet organization
- Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
- Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
- Duke University Health System has 6000 + registered nurses
- Quality of Life: Living in the Triangle!
- Relocation Assistance (based on eligibility)
Job Title: Strategic Services Associate - Revenue Assurance - Remote
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 Primary Care. 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.
REMOTE POSITION: Monday - Friday (8:00a - 5:00p)
General Description of the Job Class:
Lead Revenue Cycle strategic initiatives and project management
Analyze and interpret data to identify trends for process improvement
Identify and recommend improvement opportunities to meet AR metrics and improve under-performing AR
Revenue Cycle Analysis and Trending
Independently complete analysis of large data sets to identify root causes for increased AR Aging, increase in AR, denials, payer trends, and/or decrease in cash or net collections within all areas of the Revenue Cycle
Document and maintain cash and denials trends to proactively identify and communicate shifts
Independently translate/consolidate trends identified into an easily-readable format to report out to key internal and external stakeholders
Maintain internal control documentation related to process memos, testing, and quality control. Identify and/or recommend appropriate areas of risks for internal controls.
Conduct detailed research to identify trends, including a review of specifics in the appropriate accounts receivable and /or financial systems
Assist in leading meetings to highlight issues, trends and challenges related to net revenue and cash collections
Revenue Cycle Strategic Initiatives and Project Management
Create, design, lead, and implement strategies that will reduce DRO, improve aging AR, improve net collection rate, eliminate waste through automation or optimization of work?ows, reduce denials, and reduce avoidable write -o?s, for all areas of the Revenue Cycle
Develop, maintain, and enhance knowledge of Revenue Cycle systems and third-party vendors to support recommendations for optimal work?ows.
Leverage technology and best practices to recommend process improvements
Establish performance targets to evaluate projects with identi?ed key performance indicators and milestones.
Collaboration
E?ectively communicate trends to in?uence all levels of leadership for process improvements
Partner with leaders and teams to review and establish improvement opportunities
Perform project management duties to align multi-disciplinary groups across the revenue cycle and clinical departments, corporate ?nance, DHTS, and hospital service line leadership
Communicate and track progress of identi?ed issues and action items
Partner with Operations Improvement on outstanding optimization and automation projects
Collaborate with DUHS Finance and Contracting
Participate in high risk implementations in collaboration with Revenue Managers and other key stakeholders.
Other
Promote PRMO strategic vision, mission, and purpose while emphasizing teamwork and results. Support organizational diversity and equal treatment for all employees.
Create and foster a department culture that provides a satisfying and enriching environment in which sta? can be developed and retained.
Interact with and provide timely verbal/written responses to all stakeholders (patients, providers, payors, and departmental personnel).
Acknowledge management requests and emails in a professional, timely manner.
Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned. Accomplish all tasks as assigned.
Perform other related duties incidental to work described herein.
Required Quali?cations at this Level Education/Training:
Bachelor's degree in a business or health-related ?eld is required.
Experience:
Minimum of 5 years work experience, including 3years of experience with signi?cant responsibility for performance/ process improvement. Experience leading work teams required.
Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience.
Knowledge, Skills, and Abilities:
Expert-level written and verbal communication skills
Strong analytical skills
Ability to manage numerous projects independently and simultaneously through e?ective priority setting, e?cient use of time, organization
Knowledge of regulations related to healthcare
Attention to detail and accuracy
Computer literacy
MS Office Applications (Word, Excel, Visio, Access, PowerPoint)
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.