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.
*Now offering a $2,500 sign-on bonus that will pay out in 2 installments over 12 months in 6-month increments (6 months and 12 months)*
Occ Summary
Explain billing to patientpatients'outskills. Knowledge of medical Schedule tests and procedures. Complete and distribute ancillary service requisitions according to PRMO credit and collection policies. Determine the amount of strong verbal land-written communication. Basic PC and data entry answering the telephone, taking and delivering messages to physicians, nurses, and scheduling. The position also involves customer service, and messages completely and timely. Disseminate messages according to practice communication standards and prepare encounter forms. Investigate and account for missing encounter forms. Audit encountered referrals management and patient coordination and participate in a variety of duties associated with patients. Make return procedure. Coordinate all labs/ procedures as requested.
Maintain physicians accurately, cards as indicated by daily clinic preparation process, patient identification, patient check private physician office charts in/out, charge posting, cash prepare for clinic visits by reviewing next day patients and others. Report obtained medical information from patients and referring files and distribute insurance-specific chart documents and requisition/transmittal documents. Copy, appointment distribution, ancillary scheduling and preparation, and appointments by scheduling patients into the encounter forms and completing next-day preparation activities. Enter pre-visit orders and prepare new patient charts. Pick up X-rays, office charts, medical records, reports, petty cash, and collections bag.
File history sheets, ancillary reports, and all other required patient record documentation. Return medical records. AttachH IPPA/Medicare documents to the Check-inpatient upon arrival in the practice. Identify correct patient information in Maestro Care. Verify patient demographic data. Edit Maestro Care as needed. Accurately identify the appropriate account for patient visits. Present and educate patients on required forms and obtain signatures as required by policy and procedure. Completes allMaestro Care check-in files and manages all appropriate alerts. Collect and post co-payments and balances on accounts due. Imprint all patient forms for completeness and accuracy before batching. Batches encounter forms or charge posting in Maestro Care of cash to be collected based on insurance plan correct appointment type, entering the primary care physician or referring physician, and scheduling tests and terminology and telephone etiquette. Demonstrated ability to organize and prioritize work, provide oral and written instructions, interact tactfully with customers and establish and maintain effective relationships with others. Must be able to apply spe cificdepartmental policies rules and regulations relating to verifying patient information, collecting records and forms payments and maintaining
Minimum Qualifications
Education
Work requires knowledge of basic grammar and mathematical principles normally required through high school education, with some postsecondary education preferred. Additional training or working knowledge of the related business.
Experience
Two years experience working in hospital service access, clinical service access, physician 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
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