Duke University, a private research university located in Durham, North Carolina, is an institution "fueled by creativity" and "informed by scholarship." Founde
Facility Revenue Manager, Ambulatory Surgery Centers
Location
North Carolina
Posted
2 days ago
Salary
0
Seniority
Senior
Job Description
Facility Revenue Manager, Ambulatory Surgery Centers
Duke University
• Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, or other PRMO functions within the assigned clinical area. • Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections. • Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for the assigned clinical area. • Review and recommend changes/updates to the department's charge master(s) to maintain fees at levels that maximize reimbursement. • Review and recommend changes to the department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT/HCPCS and ICD-10 updates. • Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement. • Work with financial analysts, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues. • Act as a liaison to management and staff in the designated clinical area, Patient Revenue Management Organization (PRMO); Duke University Health System (DUHS); Duke Health Integrated Practice; and third-party payers on revenue cycle activities for assigned areas. • Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area.
Job Requirements
- Bachelor’s degree required.
- Master’s degree preferred.
- At least 6+ years of relevant Healthcare Care experience preferably in Charge Integrity/Revenue Management is required.
- Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative), or BSN RN preferred.
- Strong leadership capabilities with demonstrated ability to lead, motivate, and collaborate effectively with Hospital leadership.
- Strong oral and written communication skills.
- 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.
- Ability to work independently.
- Intermediate to expert in Microsoft Excel, PowerPoint, Teams, Word, Visio and Outlook.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
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