About Job
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.
Weekend Option PRN (Friday-Sunday) as needed.
Job Summary
Explain all required registration and billing forms and obtain signatures where applicable. Verifies insurance benefits using our electronic insurance verification system and/or contacts payors via website or phone. Assign the correct coverage to the patient's account. Completes Medicare Secondary Payer Questionnaire (MSPQ)
Resolve insurance claim rejections/denials expediently. Verify insurance benefits. Provide insurance benefit interpretation and counseling. Calculate and collect payments appropriately for all patients. Assist financially responsible persons in arranging payment. Reconcile the daily cash deposit. Meet collection and data quality goals. Perform duties necessary to ensure all accounts are processed accurately and efficiently for all. Explain all required registration and billing forms and obtain signatures where applicable. Explain bills according to PRMO financial assistance policies. Make a referral for financial assistance cable. Complete a managed care waiver form for patients considered out of network and receiving services at a reduced benefit level. Update the billing system to reflect the insurance status of the patient. Greet and assist our patients and visitors. Exhibit the DUHS values (excellence, safety, integrity, diversity, and teamwork) at all times while on duty. Explain policies and procedures and resolve problems. Gather necessary documentation to support proper handling of inquiries and complaints. Work requires knowledge of basic grammar and mathematical principles, normally acquired through a high school education, with some postsecondary education preferred.
Additional training or working knowledge in a related business will be considered. The ability to analyze data, perform multiple tasks, and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors. Must be able to understand and comply with policies and procedures. The part-time FCC will support the Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital emergency departments. Part-time FCCs can be scheduled to work all shifts and locations, based on availability and department need. This position is not eligible for Duke University Health System benefits, including medical/dental/vision, paid time off, or the DUHS retirement plan. A minimum number of work hours is not guaranteed per week. This position I deemed #essential#. Essential staff are expected to report to work during inclement weather. This position is responsible for high productivity, generated accurately following established business processes or regulatory requirements. Bedside registration is performed in the emergency departments. This position requires long periods of walking, standing, and sitting. This position requires working knowledge of compliance principles. The job allows the opportunity to work independently in any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in the description.
Duke is an 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 (including pregnancy and pregnancy-related conditions), sexual orientation or militarystatus.
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 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 essential job 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.
Minimum Qualifications
Education
Work requires a knowledge edge of basic grammar and mathematical principles normally acquired through a high school education, with some postsecondary education preferred. Additional training or working knowledge of the related business.
Experience
Two years of experience working in hospital service access, clinical service access, a physician's 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 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe 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 essential job 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.
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.
Weekend Option PRN (Friday-Sunday) as needed.
Job Summary
Explain all required registration and billing forms and obtain signatures where applicable. Verifies insurance benefits using our electronic insurance verification system and/or contacts payors via website or phone. Assign the correct coverage to the patient's account. Completes Medicare Secondary Payer Questionnaire (MSPQ)
- Collects point-of-service payments. Meets or exceeds collection goals and signatures.
- Reconciles daily cash deposit.
- Performs duties necessary to ensure all accounts are processed accurately and efficiently. 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. Gather necessary documentation to support proper handling of inquiries and complaints.
- Explain bills according to PRMO financial assistance policies.
- Resolves claim edits
- Researches denials and remedies expediently.
- Completes a non-covered waiver form for patients considered out-of-network and receiving services at a reduced benefit level.
- Completes waiver for non-authorized services.
- Document the billing system according to policy and procedure.
- Enter and update referrals as required.
- Assists with departmental coverage as requested. Experience: Two years' experience working in hospital service access, clinical service access, physician office, or boror bor 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 ith the public are required.Degrees, Licensure, and/or Certifications skillsanalyze data, oral, and in writing. Ability to analyzedata, perform modifications: None requiredKnowledge, Skills, and Abilities: Excellent commultiple tasksand work independently.
Resolve insurance claim rejections/denials expediently. Verify insurance benefits. Provide insurance benefit interpretation and counseling. Calculate and collect payments appropriately for all patients. Assist financially responsible persons in arranging payment. Reconcile the daily cash deposit. Meet collection and data quality goals. Perform duties necessary to ensure all accounts are processed accurately and efficiently for all. Explain all required registration and billing forms and obtain signatures where applicable. Explain bills according to PRMO financial assistance policies. Make a referral for financial assistance cable. Complete a managed care waiver form for patients considered out of network and receiving services at a reduced benefit level. Update the billing system to reflect the insurance status of the patient. Greet and assist our patients and visitors. Exhibit the DUHS values (excellence, safety, integrity, diversity, and teamwork) at all times while on duty. Explain policies and procedures and resolve problems. Gather necessary documentation to support proper handling of inquiries and complaints. Work requires knowledge of basic grammar and mathematical principles, normally acquired through a high school education, with some postsecondary education preferred.
Additional training or working knowledge in a related business will be considered. The ability to analyze data, perform multiple tasks, and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors. Must be able to understand and comply with policies and procedures. The part-time FCC will support the Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital emergency departments. Part-time FCCs can be scheduled to work all shifts and locations, based on availability and department need. This position is not eligible for Duke University Health System benefits, including medical/dental/vision, paid time off, or the DUHS retirement plan. A minimum number of work hours is not guaranteed per week. This position I deemed #essential#. Essential staff are expected to report to work during inclement weather. This position is responsible for high productivity, generated accurately following established business processes or regulatory requirements. Bedside registration is performed in the emergency departments. This position requires long periods of walking, standing, and sitting. This position requires working knowledge of compliance principles. The job allows the opportunity to work independently in any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in the description.
Duke is an 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 (including pregnancy and pregnancy-related conditions), sexual orientation or militarystatus.
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 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 essential job 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.
Minimum Qualifications
Education
Work requires a knowledge edge of basic grammar and mathematical principles normally acquired through a high school education, with some postsecondary education preferred. Additional training or working knowledge of the related business.
Experience
Two years of experience working in hospital service access, clinical service access, a physician's 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 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe 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 essential job 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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