Career Center

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.

 

 

Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Patient Account Analyst who will embrace our mission of Advancing Health Together.

 

Job Description

 

Supports the management team in Credit Balance Resolution in issue identification, analysis, and implementation of process improvement opportunities to achieve PRMO balanced scorecard objectives related to credit balances, refunds, credit aging, compliance, and internal controls. 

 

Duties and Responsibilities of this Level:

 

Specific Duties

Account Analysis – 65%

• Review, resolution and root cause analysis of accounts from weekly credit balance, refund, and aging reports
• Work queue Reconciliation – review of accounts that did not appropriately qualify for a work queue to determine root cause and resolve going forward
• Review credit balances to determine root causes, and recommend strategies to reduce credit/refund volumes
• Prepare written reports and analyses for PRMO leadership highlighting trends and appropriate recommendations/conclusions
• Serve as an expert resource to leadership in the decision-making process.  Play an integral role in implementing and managing change related to area of expertise.
• Organize and lead workgroup meetings with department and other areas as it relates to accounts receivable and/or financial data operation improvements

 

Internal Controls – 15%

• Review and monitor Credit Balance internal controls to validate appropriate processes are being followed
• Perform monthly review of automated processes to ensure appropriateness and effectiveness of automation
• Maintain documentation of all internal control monthly review for discussion with Quality Control Departmental staff
• Submit and prioritize ServiceNow tickets on issues identified based on urgency and impact
• Provide summaries to leadership

 

Policies and Procedures – 10%

• Assist in the development, documentation, and revision of departmental policies and procedures

 

 

Performance Reporting – 10%

• Develop and enhance KPI and analytical performance reporting for the department.
• KPI Analysis- review monthly KPI data to determine improvement opportunities

 

Other Duties as assigned

 

Required Qualifications at this Level:

Education:

Work requires a Bachelor's degree in Business, Accounting, Finance or a related field. 

 

Experience:

Work requires four years of experience in healthcare accounts receivable, revenue cycle, or a field directly related to specialized area of assignment

 

A Master's degree in a related field can substitute two years of experience on a 1:1 basis.

 

Knowledge, Skills, and Abilities:

Knowledge of:

• Core systems and their integration and interfaces (Epic)
• Operational characteristics and procedural requirements of third party payers
• Advanced Excel use and other related software applications and interfaces

 

Ability to:

• • • Investigate and analyze information and provide solutions
    • Identify and assist IT partners with implementation of system enhancements
    • Communicate effectively, both orally and in writing
    • Examine and re-engineer operations and procedures, formulate policy, develop and implement new strategies and procedures
    • Communicate effectively with a wide range of constituencies in a diverse community
    • Foster a positive work environment
    • Maintain strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation
    • Follow established departmental policies, procedures, and objectives

 

Preferred Systems:

• • EPIC
  • Hyland OnBase
  • Microsoft Office

 

 

 

 

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.