Duke University Health System · 1 week ago
Reimbursement Specialist - Provider Enrollment - Remote - MUST RESIDE IN NC
United States
Full-time
Remote
Mid Level
4+ years expDuke University Health System is dedicated to providing compassionate care and is seeking a Reimbursement Specialist to join their Patient Revenue Management Organization. The role involves analyzing departmental performance, ensuring compliance in billing, and coordinating projects to improve revenue cycle processes.
Health CareMedical
Responsibilities
Analyze and provide feedback for departmental specific reports
Utilizes clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve billing inconsistencies
Coordinates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts
Assist management in forecasting by providing historical information
Work with departmental directors, managers and appropriate personnel to ensure budgetary compliance
Manage appropriate systems for accounts receivable and/or financial reporting and prepare written reports and analyses for PRMO, DUHS and PDC leadership documenting trends and appropriate recommendations/conclusions
Coordinate communication between insurance companies, governmental agencies, providers and support staff
Trend and report on departmental performance indicators and goals
Ensure departmental goals are satisfied
Make recommendations to improve financial systems; perform in house audits of operating units; analyze deficiencies and report to manager/director
Assist in developing and defining short and long term departmental specific goals and objectives
May be responsible for managing and delegating database inquiries
Creation and development of work assignments including training of employees
Maintain professional relationship with internal and external agencies and professional organizations concerning operations
May serve as liaison between the physicians and the PRMO
May conduct employee quality reviews in support of OER (Overall Effectiveness Rating) performance evaluations, and provide feedback to management and relevant employees
Develop and provide job-specific training to new and existing employees within department
Perform other related duties incidental to the work described herein
Qualification
Required
High school diploma or equivalent is required, preferably supplemented by post-secondary courses in Accounting, Finance, Economics, Business Administration or a related field
Four years of related experience in healthcare is required. A Bachelor's degree in a related field can substitute for the experience requirement
MUST RESIDE IN NC
Company
Duke University Health System
World-class academic and health care system
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Chernelle Jones
Special Events Coordinator for: Exec. Vice Pres. Health Affairs, CEO of DUHS, & Dean, School of Med.
Dan Bruno
Chief of Staff and Chief Operating Officer, Duke Health Technology Solutions
Recent News
The Philadelphia Inquirer
2025-11-27
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