Revenue Cycle IT Analyst - Durham, United States - Duke University

Duke University Durham, United States

3 weeks ago

Description

PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.

Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Charging Systems IT Analyst who will embrace our mission of Advancing Health Together.

This Analyst, IT - Charging Systems position is a remote position.

General Description of the Job Class

The PRMO Billing System's IT Analyst plays a key role in the Revenue Cycle. Acting as a subjectmatter expert in Charge Router and Charge Review, the analyst will work closely with the Maestro Care teams on system build. The incumbent will provide identified liaison services between the PRMO Revenue Management Department and the Maestro Care teams. Also, facilitating communication across various teams in the PRMO and outside as well.

Reports to Analyst IT, Senior of Billing Systems Team

Duties and Responsibilities of this Level

Manage the documentation, resolution and completion of identified deployment issues and tasks to include maintaining accuracy for Internal Controls initiative.
Responsible for overseeing all Service Now requests for Revenue Management Department, excluding Clinical Research, overseeing all Charge Router-Review logic updates and Charge Router - Review Work Queues and collaborate with management and end users to request, test, and implement changes to the Charge Router for compliant billing.
Responsible for Revenue Management support of Account, Follow-Up and Claim Edit Work Queues and Billing related components in Master Files for DEP updates (e.g., charging method, POS, linked technical charges) and updates to missing Bill Area process.
Oversee Preference List updates for both Ambulatory and In patient specifically Charge Router, Error Pool and PB Work Queues and Monitoring of specific PB Charge Review Work Queues for system updates.
Review release notes related to current and new functionality. Report, document and escalate issues and Epic upgrade/new version testing, validation and implementation.
Formally participate and initiate meetings for review of billing issues and / or system logic updates identifying scope changes and raise issues or risks when discovered.
Liaison for Revenue Management to Maestro CareTeam to provide hands-on support to the Maestro Care PB and HB Teams.

Required Qualifications at this Level

Education:

Bachelor's degree or 4 years' experience equivalent to a degree

Experience:

4 years pertinent experience

Degrees, Licensure, and/or Certification:

This person will be required to obtain Epic Resolute Professional Billing Office Administration for SBO and SBO Admin or Resolute Hospital Billing Office Administration for SBO and SBO Admin certification through a formal Epic training program. Training will commence on the first available date with Epic for up to a period of six weeks, and may include classroom instruction, project assignments, competency exams, and e-learning classes. Failure to obtain Epic Resolute PB or HB and SBO certification within the defined timeline may result in termination.

Knowledge, Skills, and Abilities:

Understand the principles of application systems development and use them to analyze, test, implement, maintain and document IT projects. Identify the features, advantages and disadvantages of various software applications.
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.
Some relational data base and operating systems experiencewith SQL
Able to communicate effectively with non-technical staff and with members of interdisciplinary teams.
Ability to work independently

Duke is an Affirmative Action/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, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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