Patient Account Analyst - Credit Balance Resolution - Remote

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health's Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.

REMOTE POSITION: Monday - Friday (8:00am - 5:00pm)

General Description of the Job Class:

Supports the management team in Credit Balance Resolution in issue identification, analysis, and implementation of process improvement opportunities to achieve PRMO balanced scorecard objectives related to credit balances, refunds, credit aging, compliance, and internal controls. 

Duties and Responsibilities of this Level:

 Specific Duties

Account Analysis – 65%

·        Review, resolution and root cause analysis of accounts from weekly credit balance, refund, and aging reports

·       Work queue Reconciliation – review of accounts that did not appropriately qualify for a work queue to determine root cause and resolve going forward

·       Review credit balances to determine root causes, and recommend strategies to reduce credit/refund volumes

·       Prepare written reports and analyses for PRMO leadership highlighting trend s and appropriate recommendations/conclusions

·       Serve as an expert resource to leadership in the decision-making process.  Play an integral role in implementing and managing change related to area of expertise.

·       Organize and lead workgroup meetings with department and other areas as it relates to accounts receivable and/or financial data operation improvements.

Internal Controls – 15%

·       Review and monitor Credit Balance internal controls to validate appropriate processes are being followed

·       Perform monthly review of automated processes to ensure appropriateness and effectiveness of automation

·        Maintain documentation of all internal control monthly review for discussion with Quality Control Departmental staff

·       Submit and prioritize Service Now tickets on issues identified based on urgency and impact

·       Provide summaries to leadership

Policies and Procedures – 10%

·       Assist in the development, documentation, and revision of departmental policies and procedures

Performance Reporting – 10%

·       Develop and enhance KPI and analytic al performance reporting for the department.

·       KPI Analysis- review monthly KPI data to determine improvement opportunities

Minimum Qualifications

Education

Bachelor's Degree in business, healthcare administration, accounting, finance or a related field is required

Experience

Minimum of four years of applicable experience. Previous experience successfully managing complex projects involving multiple stakeholders with a consistent track record of delivering on time, or high quality results preferred. A Master's degree in a related field can substitute two years of experience on a 1:1 basis.

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.

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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.