Duke University Health System · 12 hours ago
REVENUE MANAGER-Remote
United States
Full-time
Remote
Senior Level
6+ years expDuke University Health System is committed to compassionate care and is seeking a Revenue Manager for their Patient Revenue Management Organization. The role involves managing revenue cycle-related inquiries, coordinating systems support for charge capture and billing, and leading strategic planning activities to enhance revenue cycle operations.
Health CareMedical
Responsibilities
Manage revenue cycle-related inquiries
Serve as Point Person/Service Line Resource (Liaison)
Respond, research and resolve revenue cycle-related 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 develop new reports to track revenue 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 perform ad hoc 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 within PRMO to facilitate communication
Monitor & manage reimbursement changes
Continuously research and monitor payer regulations; provide education to operational areas
As applicable, coordinate with DHIP Revenue Managers to educate physicians to meet changing payer requirements/regulations
Other duties as assigned
Facilitate revenue cycle collaboration and strategic planning activities
Serve as Duke Revenue Cycle Management and Integration lead for assigned areas to coordinate activities (reduce redundancies) and keep senior leadership informed
Coordinate and chair revenue-oriented workgroup activities and meetings
Manage communications among PRMO, hospitals, and physician practices
Must be able to facilitate meeting of multi- disciplinary teams
Arrange revenue cycle training activities
Participate in routine meetings with CFOs, AVP, Reimbursement Revenue Accounting to provide updates on current revenue cycle issues/priorities
Provide service line specific strategic planning/priorities to PRMO leadership through Revenue Manager Councils/Operations Meetings
Share operational changes to and from PRMO to hospital and physician practices
Develop 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 lead workgroups to routinely meet with Operations regarding PRMO function, issues, trends, etc., affecting revenue cycle performance
Actively participate in service line specific strategic planning around revenue cycle prioritization and planning
Arrange revenue 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
Manage and prioritize revenue and/or compliance requests
Manage projects simultaneously
Develop and manage action plans and maintain timelines
Organize and keep deadlines
Identify and recruit appropriate resources
Develop and maintain strong relationships
Develop creative solutions
Must be process oriented
Manage Annual CPT Updates: Coordinate, working with Health System Operations Managers in assigned applications: DUHS Revenue Management and PRMO CDM Team, Hospital Finance, and PDC Revenue Managers; including Annual review of charges and DEPs
Investigate and manage revenue opportunities identified through reporting and analysis
Other duties as assigned
Specialize and manage revenue 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 source for charge capture functions (charge capture, reconciliation, and corrections for procedures, medications, and supplies as appropriate) with specific applications
Other duties as assigned
Qualification
Required
Bachelor's degree required
At least 6+ years of relevant Healthcare Care experience preferably in Charge Integrity is required
Strong leadership capabilities with demonstrated ability to lead, motivate, and collaborate effectively with Hospital leadership
Strong oral and written communication skills
Preferred
Master's degree preferred
Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative) preferred
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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