Duke University Health System (DUHS) Job Descriptions
Duke Job Postings
To see if there are current openings for any of the job descriptions listed on this web site, please search Duke Jobs.
REVENUE CYCLE SPECIALIST
Job Title: REVENUE CYCLE SPECIALIST
Job Code: 4570
FLSA: N
Job Level: C2
Revised Date: 12/01/2008
Supervisory Responsibility: No
General Description of the Job Class
Perform various complex functions related to the revenue cycle operations. This will include all ancillary departments of the PRMO and will involve refining existing processes related to revenue cycle activities and supporting overall revenue cycle goals.
This job is reserved for the PRMO Operational Staffing (Float) Pool. This position will report to manager of Operational Staffing Pool.
Duties and Responsibilities of this Level
The Revenue Cycle Specialist will provide coverage and serve as a temporary resource in various areas of the revenue cycle. Specific assignments will be managed by PRMO Operational Staffing Pool office.
Under general supervision, the Revenue Cycle Specialist provides patient revenue management support throughout the revenue cycle, to include but not limited to: Incoming Call Center, Billing and Collections, Cash Management and Payment Posting, Scheduling, Pre-Registration and Charge Capture.
The Revenue Cycle Specialist will initiate and develop relationships with customers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction.
Level I: Level I assignments are transactional and productivity-based. Specific job duties may include one or more of the following: Answer and resolve inbound inquiries and issues regarding patient account statements, explanation of benefits, balance due, and other patient and insurance billing scenarios; Billing- sending out claims and patient statements for reimbursement; Scheduling inpatient and outpatient appointments, pre-registration of patients prior to service; Cash management and payment posting; Charge correction, credit balance review and processing, and collection of accounts.
Level II: In addition to the responsibilities of a Level I, Level II assignments also include financial and trend analysis work, including one or more of the following: Low payment monitoring and resolving of outstanding balances;Reconciliations of cash accounts; Provider enrollment; Self pay analysis; Trend analysis of account receivables; Denials review and resolution.
Required Qualifications at this Level
Education
Work requires knowledge of basic grammar and mathematical principles normally required through a high school education.
Completion of a bachelor???s degree program in accounting or business related field preferred.
Experience
A minimum of five years experience in healthcare revenue cycle operations or support is required.
Working knowledge of the IDX, Siemens Invision and Meditech patient account systems preferred.
OR EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND EXPERIENCE
Degrees, Licensure, and/or Certification
N/A
Knowledge, Skills, and Abilities
Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. Must be able to understand and comply with policies and procedures. Ability to work well with others - strong teamwork skills, strong patient accounting systems knowledge and skills. Must be flexible and able to function in a work environment where work and schedules may change to meet the needs of the customer.
Distinguishing Characteristics of this Level
Ability to work in a stressful environment and tactfully handle sensitive issues; ability to present a calm, professional manner and to tolerate a wide range of working conditions and personalities; ability to multitask; ability to maintain a sense of order in a busy environment; ability to provide good internal and external customer relations. Advanced knowledge of revenue cycle operations Requires good communication skills, both written and verbal. Understands the impact of patient registration on the financial revenue cycle. Requires knowledge of patient accounting systems applications.
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University 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 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.
