Strategic Services Associate – Pre Service Verification

🕒 Yesterday

🌲 North Carolina – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 10%

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Logo of Duke University Health System

Duke University Health System

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

• Design and implement strategies for enhancing performance, reducing denials, and write-offs through performance improvement techniques and methodologies • Evaluate operational workflows and identify opportunities to improve operational efficiency using technology, bots, and automation • Implement and maintain technology solutions for the department • Recommend policy/procedure and training documentation related to initiatives and projects • Establish department performance targets • Serve as a subject matter expert for eligibility, authorization, and medical necessity • Develop, maintain, and enhance knowledge of Electronic Health Record systems and third-party vendor functionality to support optimal workflows • Serve as an expert resource on performance improvement methodologies • Liaise with service lines and revenue cycle departments regarding pre-service verification operations • Educate supporting clinics on pre-service verification processes and resolve system-related workflow issues • Communicate departmental improvement strategy and develop strategies to meet performance metrics • Serve as project manager for interdisciplinary teams • Ensure training and documentation for new and changing processes • Promote the PRMO strategic vision, mission, and purpose • Provide timely verbal and written responses to patients, providers, payors, and departmental personnel • Attend meetings and participate in committees, workgroups, and Work Culture initiatives

🎯 Requirements

• Bachelors degree in a business or health-related field is required • Minimum of 5 years work experience • 3 years of experience with significant responsibility for performance/process improvement • Experience leading work teams required • Effective written and verbal communication skills • Ability to communicate with customers/staff with diverse educational backgrounds • Analysis of data and processes for opportunities for improvement • Ability to manage numerous diverse projects simultaneously through effective priority setting, efficient use of time, organization • Knowledge of revenue cycle operations • Attention to detail and accuracy • Computer literacy

🏖️ Benefits

• Relocation Assistance (based on eligibility) • Quality of Life: Living in the Triangle!

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