Patient Account Associate
4 weeks ago
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.
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.
ONSITE POSITION:
(Monday - Friday: 11:00am - 7:30pm)
Key Responsibilities:
- Analysis of lab test orders in relation to contracts with external labs for billing and application of CMS rules and contractual obligations.
- Ensure information provided by Referral Lab Technologists is correct (QA billing, information provided with requisitions, such as patient insurance, date, etc.)
- Apply CMS rules for billing determination.
- Ensure correct billing information is provided to external laboratories.
- Enter the appropriate CPT codes and prices for Gen Code test billing using EPIC work queues.
Additional Responsibilities:
- Clear 15 PB and 2 HB Clinical Lab claim edits to ensure correct and timely billing for tests to reduce the risk of denials and unexpected bills for the patient.
- Perform prior authorizations on Molecular tests for UH, BCBS, Tricare.
- Prepare spreadsheet with new Referral Lab Molecular tests for the UHC registry for prior authorizations and maintain test accuracy of the registry.
- Perform price estimates on Gen Code tests for Duke Clinics throughout the Health System.
Requirements:
- Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred.
- Additional training or working knowledge of related business.
- Two years experience working in hospital access, physician office or billing and collections or an equivalent combination of relevant education and/or experience.
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 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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