Revenue Manager – Pediatrics / Adult Ambulatory

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

👻 Ghost score 12%

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 University Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

💰 $129.6k Grant on 2022-12

Healthcare • Education

Duke University Health System is an academic health system (branded Duke Health) that delivers clinical care, patient services, research and education across multiple integrated divisions. Its offerings include clinical laboratories, primary care, homecare & hospice, patient revenue management, health technology solutions, and transport services such as Duke Life Flight. The organization emphasizes advancing health through patient care, workforce development, and innovation—summarized by its mission “Advancing Health Together”—and is recognized for safety, quality, and employer culture.

📋 Description

• Coordinate activities for staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, and other PRMO functions • Monitor staff performance in scheduling, registration, clinic check-in, and clinic 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 improvement solutions • 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, and ServiceNow tickets • Serve as an Epic Systems knowledge source for charge capture, reconciliation, corrections, and billing workflows • Resolve accounts in Charge Router, Charge Review, Claim Edit, and Follow-Up work queues • Facilitate revenue-cycle collaboration, strategic planning, workgroups, communications, and training • Manage revenue enhancement and compliance projects, action plans, timelines, root-cause analyses, and cross-functional teams • Coordinate Maestro Care setup and modifications for new services and validate billing functions after go-live • Develop best-practice workflows and system optimizations to improve revenue-cycle performance

🎯 Requirements

• Bachelor’s degree required • At least 6+ years of relevant healthcare experience required, preferably in Charge Integrity/Revenue Management • 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 • Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP, CRCR, or BSN RN preferred

🏖️ Benefits

• Equal Opportunity Employer • Commitment to collaboration, innovation, creativity, and belonging • Reasonable accommodation information and provisions available • Flexible schedule