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. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the 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 for Duke Health. REMOTE POSITION: Monday - Friday Duke University Health System - Patient Revenue Management Office PRMO seeks to hire a Patient Account Analyst who will embrace our mission of Advancing Health Together. General Description of the Job Class: The Patient Account Analyst is responsible for all payer related issues and external relations across the entire revenue cycle for hospital and professional services. The analyst will work collaboratively with all payers governmental and non-governmental to facilitate the dissemination of payer policies and procedures that impact payment, as well as internal departments, serving as a liaison between the health system and payers to resolve complicated issues. The analyst will also work collaboratively with the denial management team analyzing third-party denial trends for hospital and professional services, researching root causes of claim denials, and working with PRMO Senior Leadership and Operational Management to reduce denial volumes to improve revenue cycle performance by enhancing revenue and reducing costs. Duties and Responsibilities of this Level: Primary Liaison between PRMO and Payor Mix 85%: • Develop and maintain strong working relationships with DUHS and DHIP governmental and non-governmental payers. • Engage payers when necessary to reach resolution on unpaid accounts. • Work closely with DUHS and DHIP contracting management to ensure that regulatory updates are effectively implemented and share feedback provided from PRMO operational areas to assist with billing and collections. • Assist with managing the relationship with the onsite Blue Cross BlueShield staff. • Assist contracting with maintenance and relevant updates to our managed care contract matrix on a revolving monthly basis • Work closely with the North Carolina Hospital Association/NC Division of Health and Human Services to keep abreast of operational and legislative issues that may impact the organization. • Conduct system wide in-service meetings, bulletin meetings, and distribute relevant payer newsletters to ensure that all regulatory and administrative changes are effectively communicated and implemented. • Provide education and feedback to clinical and PRMO operational leadership as necessary. • Review payer websites and ensure that issues which impact operations are tracked and assigned in the bulletin review databa
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