Revenue Manager
Duke Careers
full-time
Posted on:
Location Type: Office
Location: Durham • North Carolina • United States
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About the role
- Reporting to the 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 function 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 assigned clinical area.
- Review and recommend changes/updates to the departments charge master(s) to maintain fees at levels that maximize reimbursement.
- Review and recommend changes to 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 analyst, 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.
- Coordinate revenue management orientation and educational activities of clinical personnel including providers and staff about coding and other outstanding revenue cycle issues.
Requirements
- Bachelors degree required.
- Masters 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.
Benefits
- Duke Health 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
charge capturecodingcharge entryreimbursement analysisfinancial performance trackingbilling compliancedata analysisrevenue cycle managementCPTICD-10
Soft Skills
communicationleadershiptrainingproblem-solvingcollaborationeducationmonitoringreportingrecommendationliaison
Certifications
CCSCPCRHIARHITHFMA CHFPCRCRBSN RN