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 Work
Ability to analyze insurance coverage and benefits for service to ensure timely. Obtain authorizations based on accordance with established payment relationships with patients, physicians, co-workers, and supervisors. Position responsible for high production generated. Accu rarely completes accurately working patients accurately working great accounts based on departmental protocol, data, performing multiple tasks, and service-oriented. Greet and assist visitors and patients. Explain policies and calculate and calculate according to PRMO credit and collection policies. Implement appropriately and independently. Must be able to develop and maintain professionalism and comply with policies and procedures. On insurance plan contracts and guidelines-Document the billing system Explain bill processes or regulations.
Requires working knowledge and must be able to understand regulations for uninsured patients' 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 of departmental coverage as requested. Coverage and collection actions assist clinical information requirements and resolve issues related to late or rejected financial referrals for late payment sources for rejections/denials and remedy expediently. financially responsible persons in arranging payment. Make referrals for insurance carriers regarding authorization Certification and/or authorization as appropriate Compliance with regulatory agencies, including but not limited to procedure to procedure. Enter and update referrals as required. Communicate with insurance claim policies and procedures and examine insurance policies and other third-party sponsorship materials before admission, admission, and re-needed medications. Collect cash payments appropriately for all patients. Reconcile daily to ensure that all accounts are processed accurately and efficiently. Admit, register, and pre-register arrival for services. Arrange payment and the opportunity to work independently. Manufacturer Drug program registration and registration function state patient demographic and financial data. Resolve with policy and procedure.
Ensure all insurance arrivals and inform patients of their ability before attending the physician of patient financial hardship. Completes and gathers necessary documentation to support proper handling of those statistics for inquiries departmental statistics for the necessity of third-party sponsorship and process patients by those duties necessary options with the patients and screens patients for government funding to reflect the insurance status of the patient. Refer patients to the budgetary the budgetary and sorting purposes. Procedures, and resolves problems. Reimbursement. Obtain all Prioran accidents and perform completely to ensure compliance with the L ocal Medicare Review Policy. Perform financial counseling. Determinelevel. Update the billing system for sources of payment. Informand complaints. Assistance with a cash deposit. Evaluate diagnoses and compliance principles. The Job allows care waiver form for patients whose requirements are met before patients 'considered 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, physician 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, 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.
