Service Access Nurse – Inpatient/Surgery Preservice Verification

Job not on LinkedIn

🕒 August 10

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 37%

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.

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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

• Manage patient intake, including triage and admissions, for non-critical transfer patients into Duke University Health System • Evaluate the appropriate level of patient care for elective, urgent, and emergent admissions • Coordinate with patients, physicians, nursing, and clinical staff when admission requirements are unmet or unauthorized • Collect patient insurance information and escalate self-pay patients through financial screening processes • Coordinate referral authorizations, treatment and surgical procedure approvals, and second surgical opinions • Analyze clinical and financial information for coding accuracy, authorization difficulty, and potential financial issues • Initiate and facilitate pre-admission and pre-certification authorizations through detailed clinical documentation evaluation • Reconcile scheduled surgical cases with the appropriate billing system • Ensure inpatient versus outpatient scheduling criteria comply with payer CPT lists • Document actions and outcomes in applicable billing systems • Provide health system resources for ICD-9 diagnoses/procedures, CPT-4 procedures, DRG, and APC assignment • Train and precept Pre-Registration staff • Conduct quality assurance reviews of Pre-Registration staff work • Conduct denial appeal follow-up to support level of care and secure reimbursement • Serve as a clinical and healthcare financial resource to PRMO and the broader health system • Liaise with hospital, physician, nursing, patient resource, billing, collections, case management, social work, and discharge planning departments • Perform other related duties incidental to the work

🎯 Requirements

• BSN Required • 3 years of nursing experience • NC or compact state license • Excellent written and verbal communication skills • Excellent customer service skills, including phone etiquette • Ability to establish good working relationships with associate departments • Working knowledge of ICD-9/CPT-4 coding • Expertise in medical terminology and clinical data interpretation

🏖️ Benefits

• Relocation Assistance (based on eligibility) • Duke University Health System is designated as a Magnet organization • Nursing certification advocacy and recognition programs • Equal opportunity employment • Reasonable accommodation support