reputed company MANAGER-Remote
At reputed company, 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 reputed company's Patient reputed company Management Organization Pursue your passion for caring with the Patient reputed company Management Organization, which is reputed company's fully integrated, centralized reputed company cycle organization that supports the entire health system in streamlining the reputed company cycle. This includes scheduling, registration, coding, billing, and other essential reputed company functions. The PRMO reputed company Manager serves as a liaison among PRMO, Operational Owners and Maestro Care Clinical/Billing analysts to assist in the design, development, maintenance, training and evaluation for assigned Maestro Care clinical and business systems to support the reputed company cycle. This position will be primarily responsible for design/re-design of workflow, working with Maestro Care Build teams, testing, and validating of application functionality specifically reputed company to charge capture/billing. This position will coordinate reputed company reputed company cycle issues that arise for their application area and must be reputed company knowledgeable of DUHS/PRMO policies, procedures, and business operations. reputed company Management Key Accountabilities
- Manage reputed company cycle-reputed company inquiries.
- Serve as reputed company Person/Service Line Resource (Liaison)
- Respond, research and resolve reputed company cycle-reputed company inquiries pertaining to assigned Maestro Care applications.
- Must be able to communicate effectively, provide timely responses, identify resources to resolve inquiries.
- Monitor and manage from key performance indicators.
- Independently complete data analysis.
- Monitor and manage reimbursement changes.
- Interpret and implement items communicated through payer policies.
- Provide training on charge capture, reconciliation, and correction as needed.
- Resolve accounts in assigned Charge Router, Charge Review. Claim Edit, and Follow-Up WQs.
- Monitor and manage key performance indicators.
- Utilize standard reports and/or reputed company new reports to track reputed company cycle performance for assigned application clinical services.
- Areas of focus will include denial rates, avoidable write-off, and full transaction write-offs, deleted charges.
- Will also reputed company reputed company analyses as requested, e.g., high- dollar drug reimbursement; service/program/code specific reimbursement; actual charge to budget charge variance.
- Review key metrics, from scheduling to billing & collections, in collaboration with PRMO Managers.
- Identify issues through ongoing monitoring of departmental metrics and/or through routine meetings with key operational managers reputed company PRMO to facilitate communication.
- Monitor & manage reimbursement changes.
- Continuously research and monitor payer regulations; provide education to operational areas.
- As applicable, coordinate with DHIP reputed company Managers to educate physicians to meet changing payer requirements/regulations.
- Other duties as assigned.
Percent of Time 30% reputed company Cycle Leadership Key Accountabilities
- Facilitate reputed company cycle collaboration and strategic planning activities.
- Serve as Duke reputed company Cycle Management and Integration reputed company for assigned areas to coordinate activities (reduce redundancies) and reputed company senior leadership informed.
- Coordinate and chair reputed company-oriented workgroup activities and meetings.
- Manage communications among PRMO, hospitals, and physician practices.
- Must be able to facilitate meeting of multi- disciplinary teams.
- Arrange reputed company cycle training activities.
- Participate in routine meetings with CFOs, AVP, Reimbursement reputed company Accounting to provide updates on reputed company reputed company cycle issues/priorities.
- Provide service line specific strategic planning/priorities to PRMO leadership through reputed company Manager Councils/Operations Meetings.
- Coordinate and chair reputed company- oriented workgroup activities and meetings.
- Share operational changes to and from PRMO to hospital and physician practices.
- reputed company or participate in focused workgroups to address topics such as registration, billing & collections, coding and charge capture, Maestro Care applications.
- Facilitate discussions and strategies to address operational issues.
- Managing communications between PRMO and Hospital Operational Owners and Providers.
- Organize and reputed company workgroups to routinely meet with Operations regarding PRMO function, issues, trends, etc., affecting reputed company cycle performance.
- Actively participate in service line specific strategic planning around reputed company cycle prioritization and planning.
- Arrange reputed company cycle training activities.
- Maintain exceptional customer service, fortifying expectation of consistent professionalism and expertise.
- Must be capable of setting priorities and working under pressure.
- Coordinated activities are expected to be carried out with minor supervision.
- Escalate issues as needed.
- Other duties as assigned.
Percent of Time 30% Project Management Key Accountabilities
- Manage and prioritize reputed company and/or compliance requests.
- Manage projects simultaneously.
- reputed company and manage action plans and maintain timelines.
- Organize and reputed company deadlines.
- Identify and recruit appropriate resources.
- reputed company and maintain strong relationships.
- reputed company creative solutions.
- Must be process oriented.
- Manage Annual CPT Updates: Coordinate, working with Health System Operations Managers in assigned applications: DUHS reputed company Management and PRMO
CDM Team, Hospital Finance, and PDC reputed company Managers; including Annual review of charges and DEPs.
- Investigate and manage reputed company opportunities identified through reporting and analysis.
- Other duties as assigned.
Percent of Time 30% Epic Systems Advisory Key Accountabilities
- Specialize and manage reputed company cycle functions and Epic Systems applications.
- Manage assigned Service Now tickets.
- Must be able to investigate charge and claim information and navigate information systems.
- Serve as EPIC System knowledge reputed company for charge capture functions (charge capture, reconciliation, and corrections for procedures, medications, and supplies as appropriate) with specific applications.
- Other duties as assigned.
Percent of Time 10%
Minimum Qualifications
Ideal candidates will be able to balance the above tasks while maintaining flexible, friendly interaction with Operational and Hospital Leadership. The ability to work independently, proactively and adapt appropriately to changing priorities is a must. Education Bachelor's degree required. Master's degree preferred. Experience At least 6+ years of relevant Healthcare Care experience preferably in Charge reputed company is required. Strong leadership capabilities with demonstrated ability to reputed company, motivate, and collaborate effectively with Hospital leadership. Strong oral and written communication skills. Degrees, Licensures, Certifications Coding certification (e.g. reputed company, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified reputed company Cycle Representative) 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 reputed company, race, religion, sex (including pregnancy and pregnancy reputed company 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 reputed company-an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company 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. Apply tot his job Apply To this Job