Supervisor, Accounts Receivable - Outpatient Eligibility/Procedural Auth - Remote

 Posted 2 hours ago
     
5-10 years experience
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AI Summary

Supervise and coordinate the Accounts Receivable section of the Duke Hospital Business Office, focusing on third-party claims and patient account collections. Manage personnel actions, develop operating policies, and coordinate with insurance companies to resolve outstanding account issues.

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.

 

Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is the 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 for Duke Health.

 

 

REMOTE POSITION: Monday - Friday

 

Occ Summary


Supervise and coordinate the activities of the Accounts Receivable section of the Duke Hospital Business Office.

 

Work Performed

Supervise and coordinate activities of the Accounts Receivable section of the Duke Hospital Business Office to include the processing of third-party claims and the maintenance, review, updating and collection of patient accounts in accordance with hospital credit policy. Approve various transactions including refunds, ability-to-pay allowances, discounts and write-offs for hospital convenience; evaluate and process insurance denials and late insurance claims information as required. Investigate special collection problems and confer with patients or financially responsible people as required to advise concerning hospital credit policy and to make arrangements for payment of outstanding accounts; recommend transfer of patient accounts to Delinquent Accounts section. Maintain liaison with hospital and clinic supervisory personnel to coordinate efforts in resolving problems concerning collection of patient accounts receivable; answer inquiries from insurance companies concerning outstanding accounts as required. Assist in the preparation of reports and analyses, setting forth progress, adverse trends and appropriate recommendations or conclusions. Plan and schedule work to ensure proper distribution of assignments and adequate manning for subsequent performance of duties. Plan and conduct meetings with subordinates to ensure compliance with established practices, to implement new policies and keep employees abreast of current changes and standards. Develop and recommend operating policies and procedures for Accounts Receivable section. Assist in the determination of fiscal requirements and the compilation of budgetary recommendations. Initiate various personnel actions include, but not limited to, hiring, performance appraisals, promotions, transfers and vacation schedules, train new employees. Perform other related duties incidental to the work described herein.

 

Knowledge, Skills and Abilities

SUPERVISION BUDGET PROJECTIONS ANALYZE TRENDS INTERVIEWING SKILLS PERSONNEL PRACTICES ACCOUNTING/BOOKKEEPING DUKE PAYROLL SYSTEM OFFICE PROCEDURES DUKE ACCOUNTING SYSTEM BILLING/COLLECTIONS INSURANCE CLAIMS CORRESPONDENCE PC WORDPROCESSING SOFTWARE PC SPREADSHEET SOFTWARE PC DATABASE MGT SOFTWARE

 

Level Characteristics

N/A

 

Minimum Qualifications

 

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. 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 andwelcome, 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 essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation willbe provided by each hiring department.

 

Education

Work generally requires knowledge of clerical and accounting principles usually acquired through an associate degree in Accounting or a directly related field.

 

Experience

Work generally requires five years of progressive experience in an accounts receivable environment. A bachelor's degree in Accounting or directly related field may be substituted for the education requirement and 2 years experience. OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

 

Degrees, Licensures, Certifications

N/A



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. 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 essential job 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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