Strategic Services Associate - Revenue and Document Integrity - Remote
Duke University Health System
Location: Durham, North Carolina
Internal Number: 207245
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 Dukeâ€™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.
Duke Nursing Highlights:
Duke University Health System is designated as a Magnet organization
Nurses from each hospitalare 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!
The Strategic Services Associate supports the management team and acts as a liaison to stakeholders (service lines, clinic leadership, providers, revenue managers, revenue cycle operational teams, etc.) to support eligibility, prior authorization, and medical necessity standardized processes. This position evaluates and implements sustainable system workflows that improve operational performance and clear lines of responsibility between clinical, clinic, and pre-service verification teams. The Strategic Services Associate contributes to the achievement of department goals through the development and leadership of performance improvement activities.
Duties and Responsibilities of this Level:
Performance Improvement 60%
Design and implement strategies for enhancing performance, reducing denials, and write-offs through utilization of performance improvement techniques and methodologies.
Evaluate operational workflows and identify components that will improve operational efficiency by leveraging technology/bot/automation.
Implement and maintain technology solutions for the department.
Recommend policy/procedure and training documentation related to initiatives and projects.
Establish department performance targets.
Maintain full knowledge of departmental operations and act as a subject matter expert for eligibility, authorization, and medical necessity.
Develop, maintain, and enhance knowledge of Electronic Health Record system and third-party vendor functionality to support recommendations on optimal workflows.
Serve as an expert resource on performance improvement methodologies.
Maintain liaison with service line and other revenue cycle departments as it relates to pre-service verification operations.
Partner with supporting clinics to educate on pre-service verification processes and resolve system related workflows impacting operations.
Communicate overall strategy for departmental improvement and develop strategies to meet performance metrics.
Serve as a project manager for interdisciplinary teams.
Ensure adequate training and documentation is provided on new and changing processes.
Other Duties 10%
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 staff 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 Qualifications at this Level
A bachelor's degree in a business or health-related field is required.
Experience: Minimum of 5 years work experience, including 3 years of experience with significant responsibility for performance/ process improvement. Experience leading work teams required.
Knowledge, Skills, and Abilities:
Effective written and verbal communication skills
Ability to communicate with customers/staff with diverse educational backgrounds
Analysis of data and processes for opportunities for improvement
Ability to manage numerous diverse projects simultaneously through effective priority setting, efficient use of time, organization
Knowledge of revenue cycle operations
Attention to detail and accuracy
Distinguishing Characteristics of this Level
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.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.