[Remote] Reimbursement Specialist - Incoming Call Center & My Chart - Remote

Note: The job is a remote job and is open to candidates in USA. Duke University Health System is committed to compassionate care and is seeking a Reimbursement Specialist for its Patient Revenue Management Organization. The role involves analyzing departmental performance, ensuring accurate billing processes, and coordinating communication between various stakeholders to optimize revenue cycle operations. Responsibilities • Analyze and provide feedback for departmental specific reports. • Utilizes clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve billing inconsistencies. • Coordinates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts. • Assist management in forecasting by providing historical information. • Work with departmental directors, managers and appropriate personnel to ensure budgetary compliance. • Manage appropriate systems for accounts receivable and/or financial reporting and prepare written reports and analyses for PRMO, DUHS and PDC leadership documenting trends and appropriate recommendations/conclusions. • Coordinate communication between insurance companies, governmental agencies, providers and support staff. • Trend and report on departmental performance indicators and goals. • Ensure departmental goals are satisfied. • Make recommendations to improve financial systems; perform in house audits of operating units; analyze deficiencies and report to manager/director. • Assist in developing and defining short and long term departmental specific goals and objectives. • May be responsible for managing and delegating database inquiries. • Creation and development of work assignments including training of employees. • Maintain professional relationship with internal and external agencies and professional organizations concerning operations. • May serve as liaison between the physicians and the PRMO. • May conduct employee quality reviews in support of OER (Overall Effectiveness Rating) performance evaluations, and provide feedback to management and relevant employees. • Develop and provide job-specific training to new and existing employees within department. • Perform other related duties incidental to the work described herein. Skills • Four years of related experience in healthcare is required. A Bachelor's degree in a related field can substitute for the experience requirement. Education Requirements • High school diploma or equivalent is required, preferably supplemented by post-secondary courses in Accounting, Finance, Economics, Business Administration or a related field. Company Overview • World-class academic and health care system It was founded in 1925, and is headquartered in Durham, North Carolina, USA, with a workforce of 10001+ employees. Its website is http://dukemedicine.org. Apply tot his job Apply To this Job