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.

This position may have an opportunity to work remotely. All Duke University remote workers must reside in one of the following states or districts: Arizona; California; Florida; Georgia; Hawaii; Illinois; Maryland; Massachusetts; Montana; New Jersey; New York; North Carolina; Pennsylvania; South Carolina; Tennessee; Texas; Virginia or Washington, DC

Occ Summary

The Senior Revenue Manager will manage and coordinate the revenue cycle activities associated with the assigned Revenue Manager(s), to provide strategic direction to maximize reimbursement, establish and monitor revenue cycle activities cost-effectively, in compliance with federal and state laws, and payer-specific billing requirements.

 

Work Performed

 

Provide strategic direction to Patient Revenue Management Organization (PRMO) Revenue Managers, and clinical leadership stakeholders to facilitate maximization of clinical revenue cost-effectively. Oversee the HB and PB revenue cycle activities associated with assigned clinical areas.  Work collaboratively with revenue cycle operational areas to prevent revenue leakage and maximize compliant reimbursement.  Coordinate revenue management orientation and educational activities of revenue managers and clinical personnel including providers and staff on collection-related issues to include coding and other outstanding revenue cycle issues.

 

Develop and utilize management models to monitor productivity and quality of staff performance. Serve as liaison to management and staff in designated clinical areas, Duke Health Integrated Practice (DHIP), PRMO, Duke University Health System, and third-party payors of revenue cycle activities. Provide training, development, and oversight of the assigned Revenue Manager(s). Conduct performance evaluations for direct reports. Report project updates from assigned Revenue Manager(s). Coordinate overall PRMO projects. Perform other related duties incidental to the work described herein.

 

Knowledge, Skills, and Abilities

 

Experience in these areas is strongly preferred: 

 

Broad experience in healthcare management, healthcare operations, change management, and systems preferred.  

 

CPT/ICD 10 Coding, charge capture systems, reimbursement systems including Epic, financial analytical skills, and APC, DRG, and third-party reimbursement guidelines and procedures. (Desired)

 

Possesses and applies knowledge of healthcare clinical and administrative systems and processes to achieve organizational priorities.   Has solid knowledge and proficiency with Microsoft Office applications including Word, Excel, PowerPoint, and Outlook.  Knowledge of Epic and Power BI is a plus.   

 

Must possess the ability to apply broad knowledge to new circumstances to add value and perspective. Exhibits a customer-service orientation; anticipates, understands, and addresses customer and stakeholder needs promptly.  Working knowledge of large revenue cycle systems and metrics. 

 

Ability to establish a productive team-based work environment that values the talents and abilities of each individual.  Strong team championing, mentoring, coaching, and development skills required. Demonstrated communication and presentation skills. Ability to lead or direct multiple complex projects and activities in an ambiguous environment that promotes initiative, creativity, and a high level of productivity.  

 

Level Characteristics

N/A

 

Minimum Qualifications

 

 

Education

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

 

Experience

 

Eight years of experience is required, of which 5 of those years should be in the healthcare industry

 

Degrees, Licensures, Certifications

 

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

 

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.

 

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