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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.
General Description of the Job Class
The PRMO Billing System’s IT Analyst plays a key role in the Revenue Cycle. Acting as a subject matter expert in Charge Router and Charge Review, the analyst will work closely with the Maestro Care teams on system build. The incumbent will provide identified liaison services between the PRMO Revenue Management Department and the Maestro Care teams. Also, facilitating communication across various teams in the PRMO and outside as well.
Reports to Analyst IT, Senior of Billing Systems Team
Duties and Responsibilities of this Level
- Manage the documentation, resolution and completion of identified deployment issues and tasks to include maintaining accuracy for Internal Controls initiative
- Responsible for overseeing all Service Now requests for Revenue Management Department, excluding Clinical Research, overseeing all Charge Router-Review logic updates and Charge Router –Review Work Queues and collaborate with management and end users to request, test, and implement changes to the Charge Router for compliant billing
- Responsible for Revenue Management support of Account, Follow-Up and Claim Edit Work Queues and Billing related components in Master Files for DEP updates (e.g., charging method, POS, linked technical charges) and updates to missing Bill Area process
- Oversee Preference List updates for both Ambulatory and Inpatient specifically Charge Router, Error Pool and PB Work Queues and Monitoring of specific PB Charge Review Work Queues for system updates
- Review release notes related to current and new functionality. Report, document and escalate issues and Epic upgrade/new version testing, validation and implementation
- Formally participate and initiate meetings for review of billing issues and / or system logic updates identifying scope changes and raise issues or risks when discovered
- Liaison for Revenue Management to Maestro Care Team to provide hands-on support to the Maestro Care PB and HB Teams
Required Qualifications at this Level
Education: Bachelor's degree or 4 years' experience equivalent to a degree
Experience: 4 years pertinent experience
Degree, Licensure, and/or Certification:
This person will be required to obtain Epic Resolute Professional Billing Office Administration for SBO and SBO Admin or Resolute Hospital Billing Office Administration for SBO and SBO Admin certification through a formal Epic training program. Training will commence on the first available date with Epic for up to a period of six weeks, and may include classroom instruction, project assignments, competency exams, and e-learning classes. Failure to obtain Epic Resolute PB or HB and SBO certification within the defined timeline may result in termination.
Knowledge, Skills and Abilities:
- Understand the principles of application systems development and use them to analyze, test, implement, maintain and document IT projects. Identify the features, advantages and disadvantages of various software applications.
- Excellent problem solving, analytical, and technical troubleshooting skills.
- Prioritization skills and ability to manage multiple projects concurrently.
- Ability to work on a flexible schedule
- Strong research and documentation skills.
- Some relational database and operating systems experience with SQL
- Able to communicate effectively with non-technical staff and with members of interdisciplinary teams.
- Ability to work independently
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.
