REVENUE MANAGER

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health's Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.

Occ Summary

The Revenue Manager will oversee the revenue cycle activities associated with the services of the assigned clinical area, to maximize reimbursement in a cost-effective manner that is in compliance with federal/state and payer-specific billing requirements.

Work Performed

Coordinate activities of staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, or other PRMO functions for the assigned clinical area. Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections. Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for the assigned clinical area. Review and recommend changes/updates to the department's charge master(s) to maintain fees at levels that maximize reimbursement. Review and recommend changes to the department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT-4 and ICD-9 updates. Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement improvement solutions. Work with financial analysts, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues.

 Act as a liaison to management and staff in the designated clinical area, PDC, PRMO, DUHS Hospitals, and third-party payers on revenue cycle activities for assigned areas. Continuously research, monitor, provide education, and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area. Coordinate revenue management orientation and educational activities of clinical personnel, including providers and staff, about coding and other outstanding revenue cycle issues. Develop and utilize management models to monitor productivity and quality of staff performance. Develop and manage the budget for the staff and activities that are directly managed. Train, direct, and coordinate the activities of assigned financial analysts/or other employees. Perform other related duties incidental to the work described herein.

Knowledge, Skills, and Abilities

Experience in these areas is preferred: CPT/ICD/9 Coding, reimbursement systems including IDX, TES, Medicode, PAS, financial analytical skills, spreadsheet, database, APC, DRG, and third-party reimbursement guidelines and procedures.

Level Characteristics

N/A

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.

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 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.

Education

Bachelor's degree required. Master's degree preferred.

Experience

Six years of experience in the healthcare industry is required.

Degrees, Licensures, Certifications

BA, BBA, RN, CPC, RRA, or CPA, or higher