MANAGER, PATIENT REVENUE

Duke Clinical Research Institute; Durham (NC); On-site; USD 110,000 - 160,000; Full time

Job summary

Duke Health in Durham, NC, is seeking a Manager of PRMO Financial Services to lead the centralized revenue cycle operations across Duke Health's Patient Revenue Management Organization. You will oversee patient pricing, financial clearance, and the development of policies and procedures that improve efficiency and patient experience.

The role requires a bachelor's degree in a related field, six years in healthcare finance, and strong analytical and communication skills.

Qualifications

• Bachelor's degree required in a related field.
• Master's degree preferred.
• Six years of healthcare-related experience required.
• Certifications in patient access and/or Epic preferred.

Responsibilities

• Oversee patient pricing and financial clearance processes.
• Develop and manage patient financial policies and procedures.
• Collaborate with director, clinical partners, and PRMO HR on staffing plans.
• Monitor KPIs and budget performance; report to leadership.
• Implement strategic PRMO initiatives and vendor relationships.
• Ensure compliance with payor requirements and clinical terminology.

Skills

Analytical skills

Strong communication

Epic familiarity

Education

Bachelor's degree in business administration, accounting, management, healthcare administration, nursing, or related field

Master's degree preferred

Tools

Epic

Job description

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.

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.

The Manager of PRMO Financial Services is an integral part of the revenue cycle, responsible for the oversight of processes related to patient pricing and financial clearance processes across Duke University Health System. The manager is responsible for developing, implementing, and managing patient financial policies and procedures, technology, and performance metrics. The scope of Financial Services includes, but is not limited to, patient estimates, fixed pricing services, centralized financial counseling in Ambulatory clinics, and screening and coaching of financially at-risk patients. The manager is responsible for living and modeling Duke's values and demonstrating expected behaviors while contributing to creating a positive patient experience and building a positive work environment.

Strategic Planning and Process Improvement

• Responsible for developing a detailed workforce plan that aligns with the overall service access workforce plan.
• Required to collaborate with the director, clinical partners, and PRMO HR in anticipating staffing needs and create the plan/goal of recruitment and retention to include resource allocation.
• Required to collaborate with the Director, Service Access, and clinical partners in identifying/recommending industry trends and technology advancements, and operationalizing identified changes within clinics.
• Responsible for educating overall strategic PRMO strategies and partnering with clinical partners to implement them to ensure alignment across Health System.
• Implement department specific strategies. Communicate in a respectful and professional manner to everyone. Focus 100% on our patients, their families and our patients, their families and our co-workers with eyes, words and body language.

Internal Business and Quality/Safety

• Provides recommendations on key performance indicators and allocates resources as necessary to fulfill the implementation plan as outlined by the Director.
• Implement technological improvements, identifying resources, establishing a timeline, and managing outcomes.
• Manages external vendor relationships that support departmental operations.
• Ensures direct reports are reviewing and reporting on status/performance for their ownership areas.
• Monitor status of metrics/performance and provide summarized status to the director/direct supervisor in all areas of oversight. Collaborate with the clinic to develop and implement an action plan for the area needing attention.

Expected to tailor compliance requirements and communicate plan to appropriate departments. Monitor compliance and hold staff accountable.

• Implements customer service performance. Proactively reach out to internal/external customers, receive feedback, and address concerns.
• Coordinates/implements an employee engagement plan. Monitor supervisor's employee engagement plan and issues.
• Enforces compliance with policies. Communicates policies and procedures to ensure consistent application of PRMO, DUHS, and DU policies and procedures across departments.
• Ensures behavioral and technical competencies are updated and communicated to your direct reports and supported clinical partners at least annually.
• Ensures department mid-year and annual performance results are communicated to direct reports and PRMO HR by stated deadlines. Executes the departmental development plan.
• Interview for skill set and make recommendations based on departmental needs. Hire appropriately, timely, and complete successful onboarding.
• Monitors budget performance of vendor contracts in conjunction with PRMO Finance.
• Responsible for development and utilization of departmental labor standards and reporting for staffing decisions. Submits LMC requests for assigned staff.
• Ensures compliance with and consistent application of payroll, time and attendance, and PTO policies and procedures across all departments.
• Ensures internal controls and process documentation are complete and current. Communicate internal control thresholds and results and develop an action plan to meet the target.

Leadership and Engagement

• Implements the succession plan in collaboration with the director.
• Fosters, creates, anmaintainsin a respectful and welcoming environment for patients, visitors, and co-workers.
• Collaborates with the director to develop an appropriate onboarding curriculum.
• Responsible for developing and implementing, in partnership with the Learning Center, Human Resources, or other training resources, specific learning activities and training required for business functions.
• Ensure training curriculum for employees is available and relevant.
• Makes operational and budgetary recommendations. Review and implementation of approved budget to ensure appropriate use of resources. Understand and communicate monthly budget performance to the director with recommendations to address variances. Manage purchase decisions/recommendations through the review and understanding of the budget.
• Responsible for approving and scheduling OT, temps & floats. Share monthly performance with direct reports and clinical partners.

Required Qualifications at this Level

Education:

A bachelor's degree in business administration, accounting, management, healthcare administration, nursing, or other related degree is required. Master's degree preferred.

Experience:

Six years of experience in the healthcare industry or other applicable experience. A master's degree in a related field, such as business or health administration, may be substituted for experience.

Degrees, Licensure, and/or Certification:

Certifications in patient access and/or Epic is preferred.

Knowledge, Skills, and Abilities:

Knowledge of payor requirements related to eligibility, authorization, and medical necessity.

Knowledge of clinical medical terminology, procedures, and diagnosis.

Ability to use analytical and deductive skills to recognize variances in large datasets, draw conclusions, and develop/implement action plans.

Strong oral and written communication skills.

Knowledge of Epic Electronic Health Record is preferred.

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.