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.

Occ Summary

Coordinate and participate in a variety of dutie s associated withdaily clinic preparation process, patient identificatio n, patient checkin/out, charge posting, cash management and patient appo intmentscheduling. Position also involves customer service, messagedistr ibution, ancillary scheduling and preparation and referralsmanagement.

Work Performed

Prepare for clinic visits by reviewing next day patients andcompleting next day preparation activities. Enterpre-visit orders andprepare new patient charts. Pick up X-rays, office c harts, medicalrecords, reports, petty cash and collections bag. File his tory sheets,ancillary reports and all other required patient record docu mentation.Return medical records. Attach HIPPA/Medicare documents to the encounter forms.Check-in patient upon arrival in the practice. Identify correct patientinformation in Maestro Care. Verify patient demographic data. EditMaestro Care as needed. Accurately identify the appropriate ac countfor patient visit. Present and educate patients on required forms a ndobtain signature as required by policy and procedure. Completes allMae stro Care check-in files and manage all appropriate alerts. Collectand p ost co-payments and balances on accounts due. Imprint all patientspecifi c chart documents and requisition/transmittal documents. Copy,file and d istribute insurance cards as indicated by procedure.Coordinate all labs/ procedures as requested. Maintain private physicianoffice charts.Prepareencounter forms. Investigate and account for missing encounterforms. Au dit encounter forms for completeness and accuracy beforebatching. Batche s encounter forms or charge posting in Maestro Care.Schedule tests and p rocedures. Complete and distributeancillary service requisitions.Explain billing to patientsaccording to PRMO credit and collection policies. De termine the amountof cash to be collected based on insurance plan.Check- outpatients. Make return appointments by scheduling patients into thecor rect appointment type, entering the primary care physician orreferring p hysician and scheduling tests and procedures.Answer telephone, take and deliver messages to physicians, nurses andothers. Report obtained medica l information from patients and referringphysicians accurately, complete ly and timely. Disseminate messagesaccording to practice communication s tandards

Knowledge, Skills and Abilities

Strong verb al and written communication. Basic PC and data entryskills. Knowledge o f medical terminology and telephone etiquette.Demonstrated ability to or ganize and prioritize work, provide oral andwritten instructions, intera ct tactfully with customers and establishand maintain effective relation ships with others. Must be able to applyspecific departmental policies r ules and regulations relating toverifying patient information, collectin g payments and maintainingrecords and forms.

Level Character istics

N/A

Minimum Qualifications

Education

Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education

Experience

Minimum of one year of work experience in directly communicating and activities. providing service to patients or public; preferably in a healthcare related field. Experience in effectively coordinating multiple tasks or

Degrees, Licensures, Certifications

N/A

 

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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.