New

REVENUE MANAGER-Remote

Duke Clinical Research Institute
United States, North Carolina, Durham
300 West Morgan Street (Show on map)
Dec 08, 2025
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. ThePRMORevenueManagerservesasaliaisonamongPRMO,OperationalOwnersandMaestroCareClinical/Billinganalyststoassistinthedesign,development,maintenance,trainingandevaluationforassignedMaestroCareclinicalandbusinesssystems to support the revenue cycle. This position will be primarily responsible for design/re-design of workflow, working withMaestro Care Build teams, testing, and validating of application functionality specifically related to charge capture/billing. Thisposition will coordinate all revenue cycle issues that arise for their application area and must be very knowledgeable ofDUHS/PRMOpolicies, procedures, andbusinessoperations. RevenueManagement KeyAccountabilities Managerevenuecycle-relatedinquiries. ServeasPointPerson/ServiceLineResource(Liaison) Respond,researchandresolverevenuecycle-relatedinquiries pertainingtoassignedMaestro Care applications. Mustbeabletocommunicateeffectively,providetimelyresponses,identifyresourcestoresolveinquiries. Monitorandmanagefromkeyperformance indicators. Independently completedataanalysis. Monitorandmanagereimbursementchanges. Interpret and implement items communicated through payerpolicies. Providetrainingonchargecapture,reconciliation,andcorrectionasneeded. ResolveaccountsinassignedChargeRouter,ChargeReview.Claim Edit,andFollow-UpWQs. Monitor andmanage keyperformanceindicators. Utilizestandardreportsand/ordevelopnewreportstotrackrevenuecycleperformanceforassignedapplication clinical services. Areas of focus will include denial rates, avoidable write-off, and fulltransaction write-offs,deleted charges. Will also perform ad hoc analyses as requested, e.g., high-dollardrugreimbursement;service/program/codespecificreimbursement;actualchargetobudget chargevariance. Reviewkeymetrics,fromschedulingtobilling&collections,incollaborationwithPRMOManagers. Identifyissuesthroughongoingmonitoringofdepartmentalmetricsand/orthroughroutinemeetings withkeyoperationalmanagerswithinPRMOtofacilitatecommunication. Monitor &managereimbursementchanges. Continuously research and monitor payer regulations; provide education to operational areas. Asapplicable,coordinatewithDHIPRevenueManagerstoeducatephysicianstomeetchangingpayerrequirements/regulations. Other duties as assigned. PercentofTime 30% RevenueCycleLeadership Key Accountabilities Facilitaterevenuecyclecollaborationandstrategicplanningactivities. ServeasDukeRevenueCycleManagementand Integrationleadforassignedareastocoordinate activities(reduceredundancies)andkeepseniorleadershipinformed. Coordinateandchairrevenue-orientedworkgroupactivitiesandmeetings. Manage communications among PRMO,hospitals,andphysicianpractices. Must be able to facilitate meeting of multi-disciplinaryteams. Arrangerevenuecycletrainingactivities. ParticipateinroutinemeetingswithCFOs,AVP,ReimbursementRevenueAccountingtoprovideupdatesoncurrent revenuecycleissues/priorities. Provideservicelinespecificstrategicplanning/prioritiestoPRMOleadershipthroughRevenue ManagerCouncils/OperationsMeetings. Coordinateandchair revenue-orientedworkgroupactivitiesand meetings. Shareoperationalchangesto and fromPRMOtohospitalandphysicianpractices. Developorparticipateinfocusedworkgroupstoaddresstopicssuchasregistration,billing& collections,codingandchargecapture,MaestroCareapplications. Facilitatediscussionsandstrategiestoaddressoperationalissues. ManagingcommunicationsbetweenPRMOandHospitalOperationalOwnersandProviders. OrganizeandleadworkgroupstoroutinelymeetwithOperationsregardingPRMOfunction,issues,trends,etc., affectingrevenuecycleperformance. Actively participate in service line specific strategic planning around revenue cycle prioritization andplanning. Arrangerevenuecycle trainingactivities. Maintain exceptional customer service, fortifying expectation of consistent professionalism and expertise. Mustbecapableofsettingprioritiesandworkingunderpressure. Coordinatedactivitiesareexpectedtobecarriedoutwithminorsupervision. Escalateissuesasneeded. Other duties as assigned. PercentofTime 30% ProjectManagement KeyAccountabilities Manageandprioritizerevenueand/orcompliancerequests. Manageprojectssimultaneously. Developandmanageaction plansand maintaintimelines. Organizeandkeepdeadlines. Identifyandrecruitappropriateresources. Develop and maintainstrongrelationships. Developcreativesolutions. Mustbeprocessoriented. ManageAnnualCPTUpdates:Coordinate,workingwithHealthSystemOperationsManagersinassignedapplications:DUHSRevenueManagementandPRMO CDMTeam,Hospital Finance,andPDCRevenueManagers;including AnnualreviewofchargesandDEPs. Investigateandmanagerevenueopportunitiesidentifiedthroughreportingandanalysis. Other duties as assigned. PercentofTime 30% EpicSystemsAdvisory Key Accountabilities Specialize andmanagerevenuecyclefunctionsandEpicSystemsapplications. ManageassignedServiceNowtickets. Mustbeabletoinvestigatechargeandclaim information andnavigateinformationsystems. ServeasEPICSystemknowledgesourceforchargecapturefunctions(chargecapture,reconciliation,andcorrectionsforprocedures, medications,andsuppliesasappropriate)withspecificapplications. Other duties as assigned. PercentofTime 10% MinimumQualifications Ideal candidates will be able to balance the above tasks while maintaining flexible, friendly interaction withOperationalandHospitalLeadership.Theabilitytoworkindependently,proactivelyandadaptappropriatelytochangingprioritiesisa must. Education Bachelor'sdegreerequired.Master'sdegreepreferred. Experience Atleast6+yearsofrelevantHealthcareCareexperiencepreferablyin Charge Integrity isrequired. Strongleadershipcapabilitieswithdemonstratedabilitytolead,motivate,andcollaborateeffectivelywithHospitalleadership. Strongoralandwrittencommunicationskills. Degrees,Licensures,Certifications Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (CertifiedRevenueCycleRepresentative)preferred. 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.