Service Access Nurse – Inpatient/Surgery Preservice Verification

🕒 August 10

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 39%

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

• Manage patient intake, including patient triage and admissions, for non-critical transfer patients • Evaluate appropriate patient care levels using expert clinical decision-making • Coordinate with patients, physicians, nursing, and clinical staff regarding admission requirements and alternative care arrangements • Collect and validate patient insurance information and escalate self-pay patients through financial screening • 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 • Reconcile scheduled surgical cases with the appropriate billing system • Ensure inpatient versus outpatient scheduling criteria meet payer CPT lists • Document actions and outcomes in applicable billing systems • Serve as a health system resource for ICD-9, CPT-4, DRG, and APC coding assignments • Train and precept Pre-Registration staff • Conduct quality assurance reviews of Pre-Registration staff work • Conduct denial appeal follow-up and analyze clinical documentation to support reimbursement • Serve as a clinical and healthcare financial resource and liaison across Duke Health departments • Perform other related duties incidental to the work described

🎯 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 • Expert knowledge of medical terminology and clinical data interpretation

🏖️ Benefits

• Relocation Assistance (based on eligibility) • Duke University Health System is designated as a Magnet organization • Nurses are recognized each year as North Carolina's Great 100 Nurses • Nursing certification advocacy recognition • Quality of Life: Living in the Triangle