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<p>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.</p> <p> </p> <p><strong>Patient Revenue Management Organization</strong></p> <p>Pursue your passion for caring with the Patient Revenue Management Organization, which is the 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 for Duke Health.</p><br><p> </p><p> </p><p style="text-align:center"><strong>REMOTE POSITION: Monday - Friday</strong></p><p style="text-align:center"> </p><p style="text-align:left"> </p><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:13.5pt;font-family:'Times New Roman', serif;color:black">General Description of the Job Class</span></strong></p><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Coordinate, prepare and analyze complex accounts receivable and/or financial reports. Review and analyze trends, advising PRMO, DUHS and PDC leadership regarding conclusions and recommendations. Serve as expert resource for covered area. </span></p><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:13.5pt;font-family:'Times New Roman', serif;color:black">Duties and Responsibilities of this Level</span></strong></p><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:13.5pt;font-family:'Times New Roman', serif;color:black"> </span></strong></p><p style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif"><strong>65% Service Now Review/Testing:</strong></p><ul style="margin-bottom:0.0in;margin-top:0.0px"><li style="line-height:normal;margin:0.0in 0.0in 8.0pt 24.0px;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Identify process improvements, including staff education/training, operational workflow modifications, system enhancements and external payer policy changes and work with Billing and Collection management to request and implement those improvements. </span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Enter Service Now tickets for system changes related to billing and collections. </span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Perform positive and negative testing of system changes to ensure appropriate updates are made and validate the process once the changes are moved to production.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Collaborate with DHTS Maestro Care team to communicate operational needs, coordinate testing efforts, and ensure appropriate turn around on changes and resolution of tickets.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Serve as an expert resource to leadership in decision-making process. Plays an integral role in implementing and managing change related to area of expertise.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Become a subject matter expert related to system logic and functionality.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Primary tester and liaison for system upgrade testing which includes performing parallel testing and providing feedback to leadership on issues found during testing.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Initiate and implement system logic changes per review of payor bulletins and guidelines.</span></li></ul><p style="margin:0.0in 0.0in 0.0in 0.75in;font-size:12.0pt;font-family:'Times New Roman', serif"> </p><p style="margin:0.0in;font-size:12.0pt;font-family:'Times New Roman', serif"><strong> </strong></p><p style="margin:0.0in 0.0in 6.0pt;font-size:12.0pt;font-family:'Times New Roman', serif"><strong>30% AR Review:</strong></p><ul style="margin-bottom:0.0in;margin-top:0.0px"><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Identify trends and opportunities for improvement for operational, payor, system and/or user issues.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Monitor clean claim rates and reporting to identify trends associated with edits across operational systems. </span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Escalate trends to management with recommendations for resolution with ideas/opportunities.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Proactively monitor payor rules and regulations related to claims logic build and billing guidelines.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Assist with facilitation of workgroup meetings including updating project log and validating testing within the system.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Prepare written reports and analysis for PRMO, DUHS and PDC leadership highlighting trends and appropriate recommendations/conclusions.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Maintain liaison with DUHS, PRMO and PDC management and staff, documenting reports and analysis and discussing results, trends and recommendations.</span></li><li style="margin:0.0in 0.0in 0.0in 24.0px;font-size:12.0pt;font-family:'Times New Roman', serif"><span style="font-size:10.0pt">Conduct detailed research to identify trends, including a review of specifics in the appropriate accounts receivable and/or financial systems.</span></li><li style="line-height:normal;margin:0.0in 0.0in 8.0pt 24.0px;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Act as a technical resource to operational management and staff on the appropriate interpretation of accounts receivable and/or financial data. Coordinate and mentor staff regarding accounts receivable and financial systems, analyses, reports and policies/procedures.</span></li></ul><p style="margin:0.0in 0.0in 6.0pt;font-size:12.0pt;font-family:'Times New Roman', serif"><strong>5% Other</strong></p><ul style="margin-bottom:0.0in;margin-top:0.0px"><li style="line-height:normal;margin:0.0in 0.0in 0.0in 0.0px;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Organize and lead committee meetings across DUHS, PRMO and PDC as it relates to accounts receivable and or financial data operation improvements. </span></li><li style="line-height:normal;margin:0.0in 0.0in 8.0pt 0.0px;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Perform other related duties incidental to the work described herein. </span></li></ul><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:13.5pt;font-family:'Times New Roman', serif;color:black">Required Qualifications at this Level</span></strong></p><table class="MsoNormalTable" style="width:100%" border="0" cellspacing="1" cellpadding="0"><tbody><tr><td style="width:30%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Education:</span></strong></p></td><td style="width:70%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Bachelor's Degree in business, healthcare administration, accounting, finance or a related field is required </span></p><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"> </p></td></tr><tr><td style="width:100%;padding:2.25pt 2.25pt 2.25pt 2.25pt" colspan="2" valign="top"><div style="margin:0.0in;text-align:center;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif" align="center"><hr align="center" size="2" width="100%"></div></td></tr><tr><td style="width:30%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Experience:</span></strong></p></td><td style="width:70%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Minimum of four years of applicable experience. </span></p><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Previous experience successfully managing complex projects involving multiple stakeholders with a consistent track record of delivering on time, or high quality results preferred. </span></p><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">A Master's degree in a related field can substitute two years of experience on a 1:1 basis. </span></p><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"> </p></td></tr><tr><td style="width:100%;padding:2.25pt 2.25pt 2.25pt 2.25pt" colspan="2" valign="top"><div style="margin:0.0in;text-align:center;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif" align="center"><hr align="center" size="2" width="100%"></div></td></tr><tr><td style="width:30%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Degrees, Licensure, and/or Certification:</span></strong></p></td><td style="width:70%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"> </p></td></tr><tr><td style="width:100%;padding:2.25pt 2.25pt 2.25pt 2.25pt" colspan="2" valign="top"><div style="margin:0.0in;text-align:center;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif" align="center"><hr align="center" size="2" width="100%"></div></td></tr><tr><td style="width:30%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"><strong><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Knowledge, Skills, and Abilities:</span></strong></p></td><td style="width:70%;padding:2.25pt 2.25pt 2.25pt 2.25pt" valign="top"><p style="line-height:normal;margin:0.0in 0.0in 8.0pt;font-size:11.0pt;font-family:Calibri, sans-serif"><span style="font-size:10.0pt;font-family:'Times New Roman', serif;color:black">Data analysis and reporting Billing/Collections Insurance Claims Microsoft Office (Excel, Access, Word, Powerpoint) Good communication skills (verbal and written) are essential. Knowledge of Epic and IT related training/testing is essential.</span></p><p style="margin:0.0in;line-height:normal;font-size:11.0pt;font-family:Calibri, sans-serif"> </p></td></tr></tbody></table><p style="text-align:left"> </p><br><br> <br> <div><p> 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. </p> <br> <br> <div><p> 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. </p> <br> <header> <strong>Essential Physical Job Functions:</strong> </header> <div><p> 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. </p> <br></div></div></div>
