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Posted: 12-Nov-24
Location: Durham, North Carolina
Salary: Open
Categories:
Internal Number: 251327
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.
Employees may be directed to perform job-related tasks other than those of Duke North Admissions. This employee is scheduled to work Weekend Option - 6:00 am - 6:30 pm, Friday, Saturday, and Sunday, for three 12-hour hoursAdmissions. The FCC is responsible for patient registrations, insurance eligibility , financial screening, POS collections, payment plans and patient workqu eues. Not fillingthis position will result indelays in the Duke-North Ad missions. This will also impact patient satisfaction scores and denial rates. Duties and Responsibilities of this Leveldeclaration of the total of the duties and responsibilities of the level of the types of duties and identify, admit, scheduling, register and pre-register patients with accurate patient demographic and financial data. Resolve insurance claim rejections/denials and remedy expediently and remedy expediently. Verify insurance benefits. Provide insurance for enhanced interpretation and counseling. Calculate and collect payments approp riately for all patients. Assist financially responsible persons in arranging payment. Reconcile daily cash deposit. Meet collection and data quality itygoals. Perform duties necessary to ensure all accounts are processed a ccurately andefficiently. Explain all requiredregistration and billing f orms and obtain signatures where applicable.
Explain bills according to PRMO financial assistance policies. Make referrals for financial counseling when applicable.Complete a managed care waiver form for patients consider edout ofnetwork andreceivingservices ata reduced benefit level. Update the billing system to reflect the insurance status of the patient.Greet and provide assistance to our patients and visitors. Exhibit the DUHS values (on duty.Explain policies andprocedures and resolve problems. Gather nec Excellence,Safety, Integrity, Diversity and Teamwork) at all times while essary documentation tosupport proper handling ofinquiries and complaint s. Assist with departmental coverage asObtain authorizations based on in surance plan contracts and guidelines.Document the billing system accordi ng to policy and procedure.
Enter and update referrals asrequired. Communicate with insurance carriers regarding clinical information requested and nd toresolve issues relating to coverage and payment.Work requires knowle dgeof basic grammar and mathematical principlesnormally required through a high school education, with some postsecondary education preferred.Add itional training orworking knowledge in related business will be conside red.Two years# experienceworking in hospital service access, clinicalser vice access,physicianoffice,or billing and collections, or an Associate's degree in a healthcarerelated field and one yearofexperience workingwi th the public, or a Bachelor's degree and one yearof experience workingw ith the public are required. #None requireddata, perform multiple tasks Excellent communication skills, oral and in writing. Ability to analyzean d work independently. Must be able to develop and maintainprofessional, service-orientedworking relationships with patients, physicians, co-work ersandsupervisors. Must be able tounderstand and comply with policiesandprocedures.This position is deemed essential. Essential staff are expected toreport to work duri ngweather. This position is responsible for high productivity, generated inclement accurately in accordance with established business processesor re gulatory requirements. Bed side registration is performed in the Emergency Department and on the inpatient units. This position requires long periods of walking, standing and sitting. This position requires workingknowledg eof compliance principles. The Job allows the opportunity 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, 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.
