PATIENT SERVICE ASSOCIATE - DUKE CHILDREN'S AND INTERNAL MEDICINE
Duke University Health System
Location: Durham, North Carolina
Admin / Clerical
Internal Number: 197357
PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Dukeâ€™s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
General Description of the Job Class
Coordinate and participate in a variety of duties associated with daily clinic prepara tion process, patient identification, patient check in/out, charge posti ng,cash management and patient appointment scheduling. Position also inv olves customer service, message distribution, ancillary scheduling and p reparation and referrals management.
Duties and Res ponsibilities of this Level
Prepare for clinic visits by reviewing next day patients and completing next day preparation acti vities. Enter pre-visit orders and prepare new patient charts. Pick up X -rays, office charts, medical records, reports, petty cash and collectio nsbag. File history sheets, ancillary reports and all other required pat ient record documentation. Return medical records. Attach HIPPA/Medicare documents to the encounter forms.
Check-in patient upon arrival in the practice. Identify correct patient information in Maestro Care. Veri fy patient demographic data. Edit Maestro Care as needed. Accurately ide ntify the appropriate account for patient visit. Present and educate pat ients on required forms and obtain signature as required by policy andpr ocedure. Completes all Maestro Care check-in files and manage all approp riate alerts. Collect and post co-payments and balances on accounts due. Imprint all patient specific chart documents and requisition/transmitta l documents. Copy, file and distribute insurance cards as indicated bypr ocedure. Coordinate all labs/procedures as requested. Maintain private p hysician office charts.
Prepare encounter forms. Investigate and a ccount for missing encounter forms. Audit encounter forms for completene ss and accuracy before batching. Batches encounter forms or charge posti ng in Maestro Care.
Schedule tests and procedures. C omplete and distribute ancillary service requisitions.
Explain billing to patients according to PRMO credit and collectionp olicies. Determine the amount of cash to be collected based on insurance plan.
Check-out patients. Make return appointments by scheduling patients into the correct appointment type, entering the p rimary care physician or referring physician and scheduling tests andpro cedures.
Answer telephone, take and deliver m essages to physicians, nurses and others. Report obtained medical inform ation from patients and referring physicians accurately, completelyand t imely. Disseminate messages according to practice communication standard s.
Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education
Minimum of one year of work experience in directly communicating and activities. providing service to patients or public; preferably in a healthcare related field. Experience in effectively coordinating multiple tasks or
Degrees, Licensures, Certifications
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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.