Patient Account Analyst - Director, Financial Services - Hybrid

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

 

About Duke Health's Patient Revenue Management Organization

 

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's 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.

 

HYBRID POSITION: Must Reside in NORTH CAROLINA

 

General Description of the Job Class

Coordinate, prepare and analyze complex accounts receivable and/or financial reports. Review and analyze trends, advising PRMO, DUHS and DHIP leadership regarding conclusions and recommendations. Serve as expert resource in the decision-making process for covered area.

 

Duties and Responsibilities of this Level

55% Service Now Review/Testing:

 

·       Identify process improvements, including staff education/training, operational workflow modifications, system enhancements and external payer policy changes and work with Management to request and implement those improvements.

 

·       Enter Service Now tickets for system changes.

 

·       Perform positive and negative testing of system changes to ensure appropriate updates are made and validate the process once the changes are moved to production.

 

·       Collaborate with DHTS Maestro Care team to communicate operational needs, coordinate testing efforts, and ensure appropriate turnaround on changes and resolution of tickets.

 

·       Serve as an expert resource to leadership in decision-making process.  Plays an integral role in implementing and managing changes related to the area of expertise.

 

·       Become a subject matter expert related to system logic and functionality.

 

·       Primary tester and liaison for system upgrade testing which includes performing parallel testing and providing feedback to leadership on issues found during testing.

 

·        Initiate and implement system logic changes per review of payor bulletins and guidelines.

 

·       Review incoming requests for optimization; prioritize based on operational needs and strategic priorities through collaboration with the Business Process Consultant and operational owners.

 

·       Monitor incoming tickets to ensure timely resolution

 

·       Participate in the testing of new system changes and enhancements to ensure successful implementations

 

·       Follow up with key stakeholders to ensure timely testing and system availability to ensure the timeline of system implementations are not negatively impacted.

 

·       Create timely user notifications based on system changes-collaborating with operational owner. 

 

·       Communicate timely identified system breaks and provide steps/timeline for resolution to mitigate negative impacts to daily business operations

 

 

 

 

 

40% AR Review:

 

·     Identify trends and opportunities for improvement for operational, payor, system and/or user issues.

 

·       Monitor work queues and reporting to identify trends associated with operational systems.

 

·       Escalate trends to management with recommendations for resolution with ideas/opportunities.

 

·       Proactively monitor payor rules and regulations related to claims logic build and billing guidelines.

 

·       Review volumes for patients access work queue rules (e.g. patient work queue