Duke
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Occ Summary Accurately complete patient accounts based on departmental protocol, policies, and procedures, and compliance with regulatory agencies, to include pre‑admission, admission, pre‑registration, and registration functions. Ensure all insurance requirements are met before patients’ arrival and inform patients of their financial liability before arrival for services. Arrange payment options with the patients and screen patients for government funding sources.
Work Performed
Analyze insurance coverage and benefits for service to ensure timely reimbursement.
Obtain all prior authorization certification and/or authorizations as appropriate.
Facilitate payment sources for uninsured patients.
Admit, register, and preregister patients with accurate demographic data.
Resolve insurance claim rejections/denials and remedy them expediently.
Calculate and collect cash payments appropriately for all patients.
Reconcile the daily cash deposit.
Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Perform duties necessary to ensure all accounts are processed accurately and efficiently. Compile departmental statistics for budgetary and reporting purposes. Explain bills according to PRMO credit and collection policies. Implement appropriate collection actions and assist financially responsible persons in arranging payment.
Knowledge, Skills, and Abilities
Excellent communication skills, oral and written.
Ability to analyze data, perform multiple tasks, and work independently.
Must develop and maintain professional, service‑oriented working relationships with patients, physicians, co‑workers, and supervisors.
Must understand and comply with policies and procedures.
Minimum Qualifications Duke is an Equal Opportunity Employer committed to providing employment opportunities 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.
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.
Education Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
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.
Nearest Major Market Durham
Nearest Secondary Market Raleigh
Read more about Duke’s commitment to affirmative action and nondiscrimination at
hr.duke.edu/eeo .
#J-18808-Ljbffr
Occ Summary Accurately complete patient accounts based on departmental protocol, policies, and procedures, and compliance with regulatory agencies, to include pre‑admission, admission, pre‑registration, and registration functions. Ensure all insurance requirements are met before patients’ arrival and inform patients of their financial liability before arrival for services. Arrange payment options with the patients and screen patients for government funding sources.
Work Performed
Analyze insurance coverage and benefits for service to ensure timely reimbursement.
Obtain all prior authorization certification and/or authorizations as appropriate.
Facilitate payment sources for uninsured patients.
Admit, register, and preregister patients with accurate demographic data.
Resolve insurance claim rejections/denials and remedy them expediently.
Calculate and collect cash payments appropriately for all patients.
Reconcile the daily cash deposit.
Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
Perform duties necessary to ensure all accounts are processed accurately and efficiently. Compile departmental statistics for budgetary and reporting purposes. Explain bills according to PRMO credit and collection policies. Implement appropriate collection actions and assist financially responsible persons in arranging payment.
Knowledge, Skills, and Abilities
Excellent communication skills, oral and written.
Ability to analyze data, perform multiple tasks, and work independently.
Must develop and maintain professional, service‑oriented working relationships with patients, physicians, co‑workers, and supervisors.
Must understand and comply with policies and procedures.
Minimum Qualifications Duke is an Equal Opportunity Employer committed to providing employment opportunities 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.
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.
Education Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
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.
Nearest Major Market Durham
Nearest Secondary Market Raleigh
Read more about Duke’s commitment to affirmative action and nondiscrimination at
hr.duke.edu/eeo .
#J-18808-Ljbffr