Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research.
Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area.
For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Compile, analyze and report on the performance of departmental operating units, noting trends and making recommendations or conclusions regarding progress.
Analyze and provide feedback for departmental specific reports. Perform other related duties incidental to the work described herein. employees.
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 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.
Knowledge, Skills and Abilities
Data analysis and reporting Billing/Collections Insurance Claims Microsoft Office (Excel, Access, Word, Powerpoint) Good communication skills (verbal and written) are essential.
A high school diploma or equivalent is required, preferably supplemented by post-secondary courses in Accounting, Finance, Economics, Business Administration or a related field.
Four years of related experience in healthcare is required. A Bachelor's degree in a related field can substitute for the experience requirement.
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.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.