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 Duke’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.

Occ Summary

Coordinate and participate in a variety of du ties associated withdaily clinic preparation process, patient identifica tion, patient checkin/out, charge posting, cash management and patient a ppointmentscheduling. Position also involves customer service, messagedi stribution, ancillary scheduling and preparation and referralsmanagement .

Work Performed

Prepare for clinic visits by review ingnext day patients andcompleting next day preparation activities. Ente rpre-visit orders andprepare new patient charts. Pick up X-rays, office charts, medicalrecords, reports, petty cash and collections bag. File hi story sheets,ancillary reports and all other required patient record doc umentation.Return medical records.Attach HIPPA/Medicare documents to th eencounter forms.Check-in patient upon arrival in the practice. Identif ycorrect patientinformation in Maestro Care. Verify patient demographicd ata. EditMaestro Care as needed. Accurately identify the appropriate acc ountfor patient visit. Present and educate patients on required forms an dobtain signature as required by policy and procedure. Completes allMaes tro Care check-in files and manage all appropriate alerts. Collectand po st co-payments and balances on accounts due. Imprint all patientspecific chart documents and requisition/transmittal documents. Copy,file and di stributeinsurance cards as indicated by procedure.Coordinate all labs/p rocedures as requested. Maintain private physicianoffice charts.Preparee ncounter forms. Investigate and account for missing encounterforms. Audi t encounter forms for completeness and accuracy beforebatching. Batches encounter forms or charge posting in Maestro Care.Schedule tests and pro cedures. Complete and distributeancillary service requisitions.Explainbi lling to patientsaccording to PRMO credit and collection policies. Deter mine the amountof cash to be collected based on insurance plan.Check-out patients. Make return appointments by scheduling patients into thecorrec t appointment type, entering the primary care physician orreferring phys ician and scheduling tests and procedures.Answer telephone, take anddeli ver messages to physicians, nurses andothers. Report obtained medical in formation from patients and referringphysicians accurately, completely a nd timely. Disseminate messagesaccording to practice communication stand ards

Knowledge, Skills and Abilities

Strong verbal a nd written communication. Basic PC and data entryskills. Knowledge of me dical terminology and telephone etiquette.Demonstrated ability to organi ze and prioritize work, provide oral andwritten instructions, interact t actfully with customers and establishand maintain effective relationship s with others. Must be able to applyspecific departmental policies rules and regulations relating toverifying patient information, collecting pa yments and maintainingrecords and forms.

Level Characteristi cs

N/A

Minimum Qualifications

Education

Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education

Experience

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

N/A

 

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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.