Director, Preservice Verification

Duke Careers

Director of Preservice Verification at Duke Health overseeing insurance coverage verifications. Ensuring compliance and improving revenue cycle performance within the healthcare organization.

Posted 6/12/2026full-timeRemote • North Carolina • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Plan, direct and coordinate all activities of Preservice Verification
Identify, communicate and align overall strategy for department improvement across the system
Develop departmental strategies to meet overall PRMO goals and performance metrics
Work with entity leadership, departmental managers, revenue managers, and physicians to identify opportunities for improving revenue cycle performance
Formulate and administer enterprise level policies and procedures; ensuring compliance with state and federal regulations, and all payor requirements
Review monthly trending analysis of denials and write-offs related to registration/eligibility, authorization, and medical necessity
Develop and implement strategies to reduce denials and write-offs
Manage internal control performance for Preservice Verification department and associated functions & workflows
Engage with other departments as needed to ensure compliance
Actively direct outsourcing and vendor relationships
Monitor cost and evaluate utilization of any vendor relationships assigned to department cost center
Assist in identification of new technologies that will improve financial service operations
Manage human capital and resources-onboarding, succession planning, recruitment strategies and employee engagement

Requirements

What you’ll need

Bachelor’s degree required
Master’s degree preferred
8 years progressive experience in clinical/administrative/consulting responsibilities in or with a provider or payor healthcare environment is required
5 years in management of people or projects
Extensive experience working with clinical providers required
Solid understanding of payor coverage requirements related to eligibility, authorization, and medical necessity
Knowledge of procedure/diagnosis coding, and case management/utilization review functions
General understanding of all revenue cycle functions and interrelationships
Strong leadership presence and skills
Proven capabilities in building and leading teams
Ability to work with others in a cooperative, collaborative manner
Strong written and oral communication skills
Epic experience preferred; MS Office Applications (Word, Excel, Visio, Access)

Benefits

Comp & perks

Health insurance
Flexible work arrangements
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

revenue cycle managementprocedure codingdiagnosis codingcase managementutilization reviewperformance metricsdenial managementfinancial service operationscompliancestrategic planning

Soft Skills

leadershipteam buildingcollaborationcommunicationemployee engagementproject managementstrategic alignmentvendor managementproblem solvinganalytical thinking