Patient Account Associate – Special Programs: Vendors – Remote Position Available In Durham, North Carolina
Tallo's Job Summary: This job listing in Durham - NC has been recently added. Tallo will add a summary here for this job shortly.
Job Description
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.
REMOTE POSITION
(Monday –
Friday:
8:00a – 4:30pm)
MUST RESIDE IN NORTH CAROLINA
General Description of the
Job Class:
Record and generate variety of information pertaining to the patient revenue process. Accurate, high-performance level position requires certain degree of knowledge of complex rules and corresponding ability to apply these rules in the work environment to achieve desired outcomes Duties and Responsibilities of this
Level:
Workload 85% Review and resolve AR associated with all payors. Works closely with vendors, Payor Relations and other operational areas for resolution of outstanding AR. Updates registration for patients when working registration related denials. Review payor websites for claim status information on outstanding AR or pending appeals/med doc submissions. Resolve AR associated with denials from payors and resolve per payor requests and guidelines. Review and resolve AR related to vendor question work queues and provide appropriate responses for resolution. Provide support to all books of business within the department that include claim edits, claim denials, insurance follow up and claim stat using. Achieve 100% of project ed cash collections for DHIP and DPC. Maintain a DRO of 35-40 days for DHI P and 25-30 for DPC. Reduce DHIP Insurance A/R >150 days to less than 10%. Reduce overall DHIP denial rate for billing to
