Revenue Manager, Pediatrics / Adult Ambulatory

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🔥 0 minutes ago

🌲 North Carolina – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

👻 Ghost score 13%

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Logo of Duke Careers

Duke Careers

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

• Coordinate staff activities related to charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, and other PRMO functions • Monitor staff performance in scheduling, registration, clinic check-in, and collections • Develop and use reports to track financial and operational revenue-cycle performance • Review and recommend charge master and charge capture document updates • Identify, analyze, and resolve revenue-cycle problems and implement improvements • Educate and train providers and staff on coding and revenue-cycle issues • Liaise with PRMO, DUHS, Duke Health Integrated Practice, clinical leadership, and third-party payers • Research and implement payer regulations and guidelines • Manage revenue-cycle inquiries, KPIs, reimbursement changes, ServiceNow tickets, work queues, and Epic applications • Lead revenue-cycle collaboration, strategic planning, workgroups, meetings, and communications • Coordinate revenue-cycle training activities • Manage revenue enhancement and compliance projects, action plans, timelines, root-cause analyses, and workflow improvements • Coordinate Maestro Care system setup, modifications, testing, validation, charge capture, billing, and go-live activities • Lead multidisciplinary teams in developing sustainable solutions

🎯 Requirements

• Bachelor’s degree required • At least 6+ years of relevant healthcare experience, preferably in Charge Integrity/Revenue Management • Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP, CRCR, or BSN RN preferred • Strong leadership capabilities with demonstrated ability to lead, motivate, and collaborate effectively with hospital leadership • Strong oral and written communication skills • Excellent problem-solving, analytical, and technical troubleshooting skills • Prioritization skills and ability to manage multiple projects concurrently • Ability to work on a flexible schedule • Strong research and documentation skills • Ability to work independently • Intermediate to expert proficiency in Microsoft Excel, PowerPoint, Teams, Word, Visio, and Outlook

🏖️ Benefits

• Equal Opportunity Employer • Reasonable accommodation information and provision available • Flexible schedule

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