Reimbursement Specialist – Outpatient Medication Authorization

Job not on LinkedIn

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Duke Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1924

💼 Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

📋 Description

• Compile, analyze, and report on departmental operating-unit performance • Analyze departmental reports and provide feedback • Ensure accurate and compliant charge items and resolve billing inconsistencies • Coordinate projects and audits to improve revenue-cycle, charging, billing, and collection processes • Assist management with forecasting using historical information • Work with directors, managers, and relevant personnel to ensure budgetary compliance • Manage accounts-receivable and/or financial-reporting systems and prepare reports and analyses for PRMO, DUHS, and PDC leadership • Coordinate communication among insurance companies, governmental agencies, providers, and support staff • Track and report departmental performance indicators and goals • Recommend improvements to financial systems and conduct operating-unit audits • Help develop departmental goals and objectives • Manage and delegate database inquiries when needed • Create work assignments and train employees • Maintain relationships with internal and external agencies and professional organizations • Serve as liaison between physicians and the PRMO when needed • Conduct employee quality reviews and provide feedback to management and employees • Develop and provide job-specific training • Perform other related duties

🎯 Requirements

• High school diploma or equivalent required • Post-secondary courses in Accounting, Finance, Economics, Business Administration, or a related field preferred • Four years of related experience in healthcare required • A Bachelor's degree in a related field can substitute for the experience requirement • Clinical and coding knowledge • Knowledge of accounts receivable and/or financial reporting systems • Ability to analyze departmental reports and performance indicators • Ability to coordinate projects and audits • Ability to communicate with insurance companies, governmental agencies, providers, and support staff

🏖️ Benefits

• Remote work arrangement • Monday–Friday, first-shift schedule • Equal employment opportunity • Reasonable accommodation support