[Hiring] Facility Revenue Manager @Duke Careers

Role Description

Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, or other PRMO functions within the assigned clinical area.

• Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections.
• Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for the assigned clinical area.
• Review and recommend changes/updates to the department's charge master(s) to maintain fees at levels that maximize reimbursement.
• Review and recommend changes to the department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT/HCPCS and ICD-10 updates.
• Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement.
• Work with financial analysts, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues.
• Act as a liaison to management and staff in the designated clinical area, Patient Revenue Management Organization (PRMO); Duke University Health System (DUHS); Duke Health Integrated Practice; and third-party payers on revenue cycle activities for assigned areas.
• Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area.
• Coordinate revenue management orientation and educational activities of clinical personnel, including providers and staff about coding and other outstanding revenue cycle issues.
• Develop and utilize management models to monitor productivity and quality of staff performance.
• Train, direct, and coordinate activities of assigned financial analysts/or other employees.
• Perform other related duties incidental to the work described herein.

Qualifications

• Bachelor’s degree required. Master’s degree preferred.
• At least 6+ years of relevant Healthcare experience preferably in Charge Integrity/Revenue Management is required.
• Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative), 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 in Microsoft Excel, PowerPoint, Teams, Word, Visio, and Outlook.

Requirements

• Manage revenue cycle-related inquiries.
• Monitor & manage from key performance indicators.
• Monitor & manage reimbursement changes.
• Facilitate revenue cycle collaboration and strategic planning activities.
• Coordinate and chair revenue-oriented workgroup activities and meetings.
• Manage communications among PRMO, hospitals, and physician practices.
• Arrange revenue cycle training activities.
• Manage revenue and/or compliance requests.
• Develop and manage action plans & timelines.
• Identify and recruit appropriate resources.
• Develop creative solutions.
• Specialize & manage revenue cycle functions and Epic Systems applications.

Benefits

• Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
• Duke aspires to create a community built on collaboration, innovation, creativity, and belonging.