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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.
REMOTE POSITION: Monday - Friday (8:00 AM - 5:00 PM)
General Description of the Job Class:
Supports Operations Improvement in issue identification, analysis, testing and implementation of process improvement opportunities to achieve and improve revenue cycle metrics. Most of the Analyst?s focus is proactive and independent in nature: reviewing revenue cycle performance data at a macro and micro level to identify outlier results, pull more detailed data to research the underlying issues, formulating operational and system solutions to improve results, and working with leadership to implement recommendations.
Duties and Responsibilities of this Level:
Troubleshoot Operational Issues & Data Analysis - 70%
Serve as a primary system troubleshooter to issues reported by and questions from across PRMO operations within Epic and 3rd party systems.
Proactively become familiar with and stay abreast of operational workflows across the revenue cycle
Investigate issues to determine systematic root cause.
Utilize Epic SlicerDicer and Tableau reporting tools for data analysis to research issues and identify trends
Develop recommendations for system fixes, submit designs through ServiceNow for system changes, perform positive and negative testing prior to implementation and post go-live validation.
Monitor System Optimization Opportunities - 20%
Routinely review Epic development roadmaps and assist in tracking Duke status of implementing
Proactively attend webinars and forums offered by revenue cycle vendors to learn and stay up to date on system capabilities
Monitor Epic Pulse dashboards for opportunities
Other - 10%
Support bi-annual Epic upgrade end-to-end testing efforts as needed.
Analytical projects as assigned by leadership.
Perform other related duties incidental to the work described herein.
Required Qualifications at this Level:
Education:
Bachelor?s degree in business, healthcare administration, accounting, finance or a related field is required.
Experience:
Minimum of four years of applicable experience.
Previous experience successfully managing complex projects involving multiple stakeholders with a consistent track record of delivering on time, or high quality results preferred.
A Master's degree in a related field can substitute two years of experience on a 1:1 basis.
Degrees, Licensure, and/or Certification: Epic Certification/Proficiency is preferred in a revenue cycle application.
Knowledge, Skills, and Abilities:
Knowledge of:
Core systems and their integration and interfaces (Epic, 3M, Onbase)
Revenue Cycle operational workflows
Ability to:
Investigate and analyze information and provide recommended solutions
Perform root cause analysis of system issues/challenges
Identify and implement optimization opportunities
Ability to effectively manage multiple competing priorities in a fast-paced environment
Communicate effectively, both orally and in writing
Demonstrate strong interpersonal and communication skills
Work effectively with a wide range of constituencies in a diverse community
Foster a positive work environment
Maintain strict confidentiality of patient medical and financial records, in compliance with federal and state patient privacy legislation
Systems:
Epic
SSI
Availity
Onbase
3M
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.
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.