Gainesville, Georgia
Gainesville, Georgia
New York, New York
Beverly Hills, California
Durham, North Carolina
Muskogee, Oklahoma
Posted: 10-May-25
Location: Raleigh, North Carolina
Categories:
Internal Number: 256179
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, 7:00pm-7:30am.
Shift Differential $7.55 per hour
Occ Summary Work
. Ability to analyze insurance coverage and benefits for service in a timely manner. Obtain authorizations in accordance with payment. relationships with patients, physicians, co-workers and supervisors. Position responsible for high production generated accurately in Accurately complete patient accounts based on departmental protocol and data, perform multiple tasks, service-orient working Greet and provide assistance to visitors and patients. Explain policies and Calculate and, according to PRMO credit and collection policies,. Implement appropriatework independently. Must be able to develop and maintain professionalism and comply with policies and procedures on insurance plan contracts and guidelines. Document billing system: system Explain business processes or regulation. Requires working knowledge of Must be able to understand uninsured patients.
Determine if the patient's condition is the result of research; determine the appropriate source of liability/payment according to policy sources. departmental coverage as requested. coverage and collection actions and clinical information requested and to resolve issues relating to Facilitate payment source rejections/denials and remedy them expediently. financially responsible persons in arranging payment. Make referrals to insurance carriers regarding authorization certification and/or authorizations as appropriate. compliance with regulatory agencies, to include but not be limited to procedures. Enter and update referrals as required. Communicate insurance policies and procedures and examine insurance policies and other third-party sponsorship material pre-admission, admission, and when needed for medications. Collect cash payments appropriately for all patients.
Reconcile daily to ensure all accounts are accurate and efficient. Compile an opportunity to work independently. Patients with accurate patient demographics register and pre-register for services upon arrival. Arrange payment for the opponent's financial data. Resolve the manufacturer drug program as per policy procedure. registration and registration functions. Ensure all insurance arrives and inform patients of their financial liability prior to attending a physician for patient financial hardship. Complete the managed Gathers necessary documentation support proper handling of inquiries departmental statistics for the necessity of third-party sponsorship and process patients in accordance with those duties, necessary options with the patients, and screen patients for government funding to reflect the insurance status of the patient. Refer patients to the budgetary and reporting purposes. procedures and resolves problems. reimbursement. Obtain all prior accident records and perform a complete review to ensure compliance with the local Medicare review policy. Perform financial counseling. Determine level. Update the billing system for sources of payment. Informant complaints. Assist with cash deposit. Evaluate diagnoses and compliance principles. Job allows waiver form for patients Requirements are met prior to patients being considered out of network and services at a reduced benefit
Minimum Qualifications
Duke is an affirmative action/equal opportunity employer committed providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identit y, 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 the robust exchange of ideas-an exchange that is best when the diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of thecommunity feel secure and welcome, that the contributions ions of individuals are respected, and that all voices are heard. All members our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University Duke University Health System may include essential job f unctions require specific physical and/or mental abilities. Additional information and provision 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 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, service access, physicia n office or billing and collections. Or, an associate's degree in a healthcare-related field and one year experience working with the public. Or, 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.