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PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke’s reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.

Occ Summary

Coordinate and participate in a variety of duties associated withdaily clinic preparation process, patient identif ication, patient checkin/out, charge posting, cash management and patien t appointmentscheduling. Position also involves customer service, messag edistribution, ancillary scheduling and preparation and referralsmanagem ent.

Work Performed

Prepare for clinic visits by rev iewingnext day patients andcompleting next day preparation activities. E nterpre-visit orders andpreparenew patient charts. Pick upX-rays, office charts, medicalrecords, reports, petty cash and collections bag. File hi story sheets,ancillary reports and all other required patient record doc umentation.Return medical records.Attach HIPPA/Medicare documents to th eencounter forms.Check-in patient upon arrival in the practice. Identif ycorrect patientinformation in Maestro Care. Verify patient demographicd ata. EditMaestro Care as needed. Accurately identify the appropriate acc ountfor patient visit. Present and educate patients on required forms an dobtain signature as required by policy and procedure. Completes allMaes tro Care check-in files and manage all appropriate alerts. Collectand po st co-payments and balances on accounts due. Imprint all patientspecific chart documents and requisition/transmittal documents. Copy,file and dis tribute insurance cards as indicated by procedure.Coordinate all labs/pr ocedures as requested. Maintain private physicianoffice charts.Prepareen counter forms. Investigate and account for missing encounterforms. Audit encounter forms for completeness and accuracy beforebatching. Batchesen counter forms or charge posting in Maestro Care.Schedule tests and proce dures. Complete and distributeancillary service requisitions.Explainbill ing to patientsaccording to PRMO credit and collection policies. Determi ne the amountof cash to be collected based on insurance plan.Check-outpa tients. Make return appointments by scheduling patients into thecorrect appointment type, entering the primary care physician orreferring physic ian and scheduling tests and procedures.Answer telephone, take anddelive r messages to physicians, nurses andothers. Report obtained medical info rmation from patients and referringphysicians accurately, completely and timely. Disseminate messagesaccording to practice communication standar ds

Knowledge, Skills and Abilities

Strong verbal and written communication. Basic PC and data entryskills. Knowledge of medi cal terminology and telephone etiquette.Demonstrated ability to organize and prioritize work, provide oral andwritten instructions, interact tac tfully with customers and establishand maintain effective relationships with others. Must be able to applyspecific departmental policies rulesan d regulations relating toverifying patient information, collecting payme nts and maintainingrecords and forms.

Level Characteristics< /h3>

N/A

Minimum Qualifications

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 or

Degrees, Licensures, Certifications

N/A

 

Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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.

 

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