Patient Service Associate-Ortho-PRMO Heritage

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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.

General Description of the Job Class

Coordinate and participate in a variety of duties associated with daily clinic preparation process, patient identification, patient check in / out, charge posting, cash management and patient appointment scheduling. Position also involves customer service, message distribution, ancillary scheduling and preparation and referrals management.

Duties and Responsibilities of this Level

Prepare for clinic visits by reviewing the next day patients and completing next day preparation activities. Enter pre-visit orders and prepare new patient charts. Pick up X-rays, office charts, medical records, reports, petty cash, and collections bag. File history sheets, ancillary reports, and all other required patient record documentation. Return medical records. Attach HIPPA / Medicare documents to the encounter forms.

Check-in patient upon arrival in the practice. Identify correct patient information in Maestro Care. Verify patient demographic data. Edit Maestro Care as needed. Accurately identify the appropriate account for patient visits. Present and educate patients on required forms and obtain signature as required by policy and procedure. Completes all Maestro Care check-in files and manages all appropriate alerts. Collect and post co-payments and balances on accounts due. Imprint all patient specific chart documents and requisition / transmittal documents. Copy, file, and distribute insurance cards as indicated by procedure. Coordinate all labs / procedures as requested. Maintain private physician office charts.

Prepare encounter forms. Investigate and account for missing encounter forms. Audit encounter forms for completeness and accuracy before batching. Batches encounter forms or charge posting in Maestro Care.

Schedule tests and procedures. Complete and distribute ancillary service requisitions.

Explain billing to patients according to PRMO credit and collection policies. Determine the amount of cash to be collected based on insurance plan.

Check-out patients. Make return appointments by scheduling patients into the correct appointment type, entering the primary care physician or referring physician and scheduling tests and procedures.

Answer telephone, take and deliver messages to physicians, nurses, and others. Report obtained medical information from patients and referring physicians accurately, completely, and timely. Disseminate messages according to practice communication standards.

Required Qualifications at this Level

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 providing services to patients or the public; preferably in a healthcare related field. Experience in effectively coordinating multiple tasks or activities.

Degrees, Licensure, and / or Certification

N / A

Knowledge, Skills, and Abilities

Strong verbal and written communication. Basic PC and data entry skills. Knowledge of medical terminology and telephone etiquette.

Demonstrated ability to organize and prioritize work, provide oral and written instructions, interact tactfully with customers, and establish and maintain effective relationships with others.

Must be able to apply specific departmental policies, rules and regulations relating to verifying patient information, collecting payments, and maintaining records and forms.

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.