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 c harts, medicalrecords, reports, petty cash and collections bag. File his tory sheets,ancillary reports and all other required patient record docu mentation.Return medical records.Attach HIPPA/Medicare documents to the encounter forms.Check-in patient upon arrival in the practice. Identify correct patientinformation in Maestro Care. Verify patient demographicda ta. EditMaestro Care as needed. Accurately identify the appropriate acco untfor patient visit. Present and educate patients on required forms and obtain signature as required by policy and procedure. Completes allMaest ro Care check-in files and manage all appropriate alerts. Collectand pos t co-payments and balances on accounts due. Imprint all patientspecific chart documents and requisition/transmittal documents. Copy,file anddis tribute insurance cards as indicated by procedure.Coordinate all labs/pr ocedures as requested. Maintain private physicianoffice charts.Prepareen counter forms. Investigate and account for missing encounterforms. Audit encounter forms for completeness and accuracy beforebatching. Batches e ncounter forms or charge posting in Maestro Care.Schedule tests and proc edures. Complete and distributeancillary service requisitions.Explainbil ling to patientsaccording to PRMO credit and collection policies. Determ ine the amountof cash to be collected based on insurance plan.Check-outp atients. Make return appointments by scheduling patients into thecorrect appointment type, entering the primary care physician orreferring physi cian and scheduling tests and procedures.Answer telephone, take anddeliv er messages to physicians, nurses andothers. Report obtained medical inf ormation frompatients and referringphysicians accurately, completely an d timely. Disseminate messagesaccording to practice communication standa rds

Knowledge, Skills and Abilities

Strong verbal an d written communication. Basic PC and data entryskills. Knowledge of med ical terminology and telephone etiquette.Demonstrated ability to organiz e and prioritize work, provide oral andwritten instructions, interact ta ctfully with customers and establishand maintain effective relationships with others. Must be able to applyspecific departmental policies rules and regulations relating toverifying patient information, collecting pay ments and maintainingrecords and forms.

Level Characteristic s

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.