Patient Service Associate - Duke Health South Durham

Duke University; Durham (NC); On-site; USD 42,000 - 54,000; Full time

Job summary

Duke University Health System in Durham, NC is seeking an on-site Patient Revenue Specialist to support daily clinic operations, patient check-in/out, charge posting, and billing processes within the PRMO. The role emphasizes accuracy, patient service, and adherence to HIPAA and revenue policies.

You will review next-day visits, prepare charts, collect co-pays, and coordinate labs and referrals while maintaining quality records and providing courteous service to patients and staff.

Qualifications

• Basic PC and data entry skills are required.
• Knowledge of medical terminology and telephone etiquette.
• Ability to organize and prioritize work and communicate instructions clearly.
• Understand and apply department policies for patient information, payments, and records.

Responsibilities

• Coordinate clinic preparation, patient check-in/out, and revenue-related tasks.
• Enter pre-visit orders and prepare patient charts.
• Post co-payments and balances and manage physician encounter forms.
• Explain billing per PRMO policies and assist with scheduling and referrals.
• Handle patient communications and distribute messages to staff.

Skills

Basic PC skills

Data entry

Medical terminology

Customer service

Organization & prioritization

Communication skills

Education

High school diploma or GED

Job description

Select how often (in days) to receive an alert:

Work Arrangement: On-Site

Requisition Number: 275933

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Oct 19, 2026

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.

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.

ONSITE POSITION: Monday - Friday (8:30 AM - 5:00 PM)

Summary

Coordinate and participate in a variety of duties associated with daily clinic preparation process, patient identification, patient check-in/out, charge posting, cash management and patient appointment scheduling. Position also involves customer service, message distribution, ancillary scheduling and preparation and referrals management.

Work Performed

• Prepare for clinic visits by reviewing next day patients and completing next day preparation activities.
• Enter pre-visit orders and prepare new patient charts. Pick up X-rays, office c harts, medical records, reports, petty cash and collections bag.
• File history sheets, ancillary reports and all other required patient record documentation.
• Return medical records.
• Attach HIPPA/Medicare documents to the encounter forms.
• Check-in patient upon arrival in the practice.
• Identify correct patient information in Maestro Care. Verify patient demographic data.
• Edit Maestro Care as needed.
• Accurately identify the appropriate account for patient visit.
• Present and educate patients on required forms and obtain signature as required by policy and procedure.
• Completes all Maestro Care check-in files and manage all appropriate alerts.
• Collect and post co-payments and balances on accounts due.
• Imprint all patient specific chart documents and requisition/transmittal documents.
• Copy, file and distribute insurance cards as indicated by procedure.
• Coordinate all labs/ procedures as requested.
• Maintain private physician office charts.
• Investigate and account for missing encounter forms.
• Audit encounter forms for completeness and accuracy before batching.
• Batches encounter forms or charge posting in Maestro Care.
• Schedule tests and procedures.
• Complete and distribute ancillary service requisitions.
• Explain billing to patients according to PRMO credit and collection policies.
• Determine the amount of cash to be collected based on insurance plan.
• Make return appointments by scheduling patients into the correct appointment type, entering the primary care physician or referring physician and scheduling tests and procedures.
• Answer telephone, take and deliver messages to physicians, nurses and others.
• Report obtained medical information from patients and referring physicians accurately, completely and timely. Disseminate messages according to practice communication standards

Knowledge, Skills and Abilities

• Basic PC and data entry skills.
• Knowledge of medical terminology and telephone etiquette.
• Demonstrated ability to organize and prioritize work, provide oral and written instructions, interact tactfully with customers and establish and maintain effective relationships with others.
• Must be able to apply specific departmental policies rules and regulations relating to verifying patient information, collecting payments and maintaining records and forms.

Education

Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education

Experience

Minimum of one year of work experience in directly communicating and activities. Providing service to patients or public; preferably in a healthcare related field. Experience in effectively coordinating multiple tasks

Degrees, Licensures, Certifications

N/A

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.

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.

Nearest Major Market:

Durham

Nearest Secondary Market:

Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.