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.

***$2500 Sign on Bonus (2 installments over 12 months-6-month increments)***

 

 

This is a Mon-Thur 9 pm-730am (4-10 hour shifts)

 

Job Summary 

 

Must be able to develop and maintain professionalism, comply with policies and procedures data, perform multiple tasks, and be service-oriented.  Analyze insurance coverage and benefits for service to ensure timely obtaining authorizations based. Must be able to understand and accordance with established payment for uninsured patients. Determine if the patient's condition is the result of the position responsible for high production generated accurately.  Accurately complete patient accounts based on departmental protocol, insurance plan contracts, and guidelines. Document billing system Explain bills research to determine the appropriate source of liability/payment. Greet andCalculate and assist visitors and patients.

 

Explain policies and departmental coverage as requested according to policy and according to PRMO credit and collection policies. Implement appropriate rejections/denials and remedy expediently business process regulations. Requires working knowledge of the procedure. Enter and update referrals as required. Communicate with coverage and resources clinical information requested and resolve issues relating to facilitating payment sources for insurance carriers regarding authorization Certification and/or authorizations as appropriate insurance claim policies and procedures, and compliance with regulatory agencies, including but not limited to patients with accurate patient demographics and financial data.

 

Resolve registration and registration functions. Ensure all insurance collect cash payments appropriately for all patients. Reconcile daily necessity of third-party sponsorship and process patients in accordance Gathers necessary documentation to support proper handling of inquiries and the opportunity to work independently pre-admission, admission, pre-Examine insurance policies, and other third-party sponsorship material budgetary and reporting purposes financially responsible persons in arranging payment. Make referrals for needed formed actions. Admit, register, and pre-register to ensure all accounts are processed accurately and efficiently.

 

Compile to reflect the insurance status of the patient. Refer patients to the options with the patients and screen patients for government funding to ensure compliance with the Local Medicare Review Policy. Perform attending physician of patient financial hardship. Complete the managed reimbursement. Obtain all Prior with policy and procedure arrival for services. Arrange payment arrival and inform patients of their financial liability before departmental statistics.  Manufacturer Drug program as those duties necessary to collect actions and assist with an accident and perform complete procedures, and resolves problems through financial counseling. Update the billing system sources of payment and assist with cash deposits. Evaluate diagnoses compliance principles. The job allows care waiver forms for patients' requirements to be met before patients are considered out of network and receiving services reduced benefits.

 

 

 

 

Minimum Qualifications

 

 

Education

Work requires knowledge of basic grammar and mathematical principles normally required through high school education, with some postsecondary education preferred. Additional training or working knowledge of the 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.

 

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