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.
Position Hours: Four Ten hours Tuesday through Friday, 9 a.m. to 7:30 p.m. Experience: His job description intends to provide a representative and Education: responsibilities that will be required of positions given this title level of the types of duties and shall not be construed as a declaration of the total of the specific duties and responsibilities of knowledge, skills, and abilities: any particular position. Degrees, Licensure, and certification: this description. Required Qualifications Employees may be directed to perform job-related tasks other than those Service Access Representative Working.
Job Description Duties and Responsibilities:
Clinical Quality: 50% Identifies, admits, schedules, registers and pre-registers patients with accurate patient demographic and financial data. Meets or exceeds data quality goals. #explains all required registration and billing forms and obtains signatures where applicable. # Verify their insurance benefits using an electronic verification system and contacts via website or phone. Assign the correct coverage to the patient's account. Completes the Medicare Secondary Payer Questionnaire (MSPQ). # Collects point of servicepayments. Meets or exceeds collection goals. # Creates estimates for upcoming services when applicable. Arrange payment plans and offer financial assistance when applicable. Reconciles daily cash deposits. Performs duties necessary to ensure all accounts are processed accurately and efficiently.
Customer Service: 20%Greets and assists our patients and visitors. Exhibits the DUHS values (Excellence, Safety, Integrity, Diversity, and Teamwork) at all times while on duty. # explains policies and procedures and resolves problems. Gathers necessary documentation to support proper handling of inquiries and complaints. # explains bills according to PRMO financial financial assistance policies.
Finance -10% resolves claim edits. #Research for patients considered out of network and receiving services that are denied and provide feedback. Complete a non-covered waiver form for reduced benefit level. Completes waiver for unauthorized services. Obtain authorizations based on insurance plan contracts and guidelines. Documents the billing system according to policy and procedure. #enters and updates referrals as required.
Work Culture: 20% Assists with departmental coverage as requested. #attends monthly staff meetings. #a attends all required training and seekscontinuous learning opportunities. # maintains compliance with safety andtraining requirements. # Reviews PRMO policies and procedures on the PRMO website to maintain compliance with approved policies and procedures. Contributes to an environment of collaboration and teamwork. Work requires knowledge of basic grammar and mathematical principles normally required through high school education, with some postsecondary education preferred. Additional training or work knowledge in related business will be considered.
This position was standing and sitting. This position requires working knowledge requiring long periods of compliance with principles. The job requires the ability to work independently.
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, 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.
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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.