Details
Posted: 02-Jun-22
Location: Durham, North Carolina
Salary: Open
Categories:
Admin / Clerical
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.
Summary
Coordinate and participate in a variety of duties as sociated with daily clinic preparation process, patient identification, patient check-in/out, charge posting, cash management and patient appoin tment scheduling. Position also involves customer service, message distr ibution, ancillary scheduling and preparation and referrals management.< /p>
Work Performed
Prepare for clinic visits by reviewin g next day patients and completing next day preparation activities. Ente r pre-visit ordersand prepare new patient charts. Pick up X-rays, offic e charts, medical records, reports, petty cash and collections bag. File history sheets, ancillary reports and all other required patient record documentation. Return medical records. Attach HIPPA/Medicare documents to the encounter forms. Check-in patient upon arrival in the practice. Identify correct patient information in Maestro Care. Verify patient dem ographic data. Edit Maestro Care as needed. Accurately identify the appr opriate account for patient visit. Present and educate patients on requi red forms and obtain signature as required by policy and procedure. Comp letes all Maestro Care check-in files and manage all appropriate alerts. Collect and post co-payments and balances on accounts due. Imprint all patient specific chart documents and requisition/transmittal documents. Copy, file and distributeinsurance cards as indicated by procedure. Coo rdinate all labs/procedures as requested. Maintain private physician off ice charts. Prepare encounter forms. Investigate and account for missing encounter forms. Audit encounter forms for completeness and accuracy be fore batching. Batches encounter forms or charge posting in Maestro Care . Schedule tests and procedures. Complete and distribute ancillary servi ce requisitions. Explain billing to patients according to PRMO credit an d collection policies. Determine the amount of cash to be collected base d on insurance plan. Check-outpatients. Make return appointments by sche dulingpatients into the correct appointment type, entering the primary care physician or referring physician and scheduling tests and procedure s. Answer telephone, take and deliver messages to physicians, nurses and others. Report obtained medical informationfrom patients and referring physicians accurately, completely and timely. Disseminate messages acco rding to practice communication standards
Knowledge, Skills and Abilities
Strong verbal and written communication. Basic PC and data entry skills. Knowledge of medical terminology and telephone et iquette. Demonstrated ability to organize and prioritize work, provide o ral and written instructions, interact tactfully with customers and esta blish and maintain effective relationships with others. Must be able to apply specific departmental policies rules and regulations relating to v erifying patient information, collecting payments and maintaining record s and forms.
Level Characteristics
N/A
Minimum Qualifications
Education
Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education
Experience
Minimum of one year of work experience in directly communicating and activities. providing service to patients or public; preferably in a healthcare related field. Experience in effectively coordinating multiple tasks or
Degrees, Licensures, Certifications
N/A
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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.