Duke University Health System
Patient Account Associate
Duke University Health System, Durham, North Carolina, United States, 27703
Duke HomeCare & Hospice
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 HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, and serves as the home for the Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.
Work Arrangement - Hybrid 2 days per week in the office and 3 days from home. WFH more than 3 days in perfekten work week is not allowed.
Position Summary Responsible for performing the reimbursement functions of billing and collections through evaluation, documentation, and obtaining any required information to ensure complete accuracy in creating a claim and final payment. The Patient Account Associate also performs cash application duties and works independently to process complex patient medical claims by therapy and payer specifications.
Position Responsibilities
Ensures confidentiality of patient information through HIPAA compliance.
Maintains knowledge of reimbursement changes, including managed care contracts, Medicare/Medicaid Ngo line, and third-level insurer guidelines.
Initiates correspondence and phone contact to clarify account or coverage with patients, guarantors, employers, insurers, and agencies, obtaining cooperation toward settlement.
Maintinshi ensures prompt processing of claims, including billing, claim transmission, and collection.
Obtains and follows up on all documentation needed to bill.
Notifies supervisor and data manager about any medical documentation required by payer sources or patients.
Investigates denials from insurers to ensure claim resolution.
Prioritizes accounts to maximize dollars in collections.
Notifies supervisor of problem accounts and clinical issues needing billing and collections attention.
Researches and resolves delinquent accounts to ensure heaps of collections and reduce DSO.
Records database notes as specified by supervisor.
Submits appropriate documentation for adjustments, write‑offs, refunds, or bad debt to the appropriate supervisor, Accounts Receivable.
Communicates any IT issues to supervisor.
If assigned to the cash application function, performs all related duties as outlined by supervisor.
Performs special projects and other duties as requested.
Qualifications Education High school diploma or equivalent required. Some post‑secondary education preferred; additional training or working knowledge of related business.
Preferred Requirements
Understanding of medical terminology, coding, third‑party benefits, government payer regulations, collection techniques, and cash management.
Computer literacy; Excel experience a plus.
Two years’ experience in hospital access, a physician's office, or billing and collections, or equivalent education/experience.
Knowledge of government payer regulations and third‑party payer guidelines.
Excellent communication skills, oral and written.
Ability to analyze data, perform multiple tasks, and work independently.
Ability to develop and maintain professional, service‑oriented relationships with patients, pay sources, and co‑workers.
Understanding and compliance with policies and procedures.
Detail‑oriented with time management, analytical, and organizational skills.
Knowledge, Skills, and Abilities Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks, and work independently. Must develop professional service‑oriented relationships with patients, pay sources, and co‑workers. Should comply with policies and procedures. Must perform each essential duty satisfactorily. Required characteristics: detail‑oriented, time management, analytical, organizational, independent worker.
EEO Statement Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy‑related conditions), sexual orientation, or military status.
Essential Physical Job Functions Certain jobs at Duke may include essential 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.
Duke Community Statement Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our success depends on a robust exchange of ideas. All voices must be heard and respected. All members of the community have a responsibility to uphold these values.
#J-18808-Ljbffr
About Duke HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, and serves as the home for the Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.
Work Arrangement - Hybrid 2 days per week in the office and 3 days from home. WFH more than 3 days in perfekten work week is not allowed.
Position Summary Responsible for performing the reimbursement functions of billing and collections through evaluation, documentation, and obtaining any required information to ensure complete accuracy in creating a claim and final payment. The Patient Account Associate also performs cash application duties and works independently to process complex patient medical claims by therapy and payer specifications.
Position Responsibilities
Ensures confidentiality of patient information through HIPAA compliance.
Maintains knowledge of reimbursement changes, including managed care contracts, Medicare/Medicaid Ngo line, and third-level insurer guidelines.
Initiates correspondence and phone contact to clarify account or coverage with patients, guarantors, employers, insurers, and agencies, obtaining cooperation toward settlement.
Maintinshi ensures prompt processing of claims, including billing, claim transmission, and collection.
Obtains and follows up on all documentation needed to bill.
Notifies supervisor and data manager about any medical documentation required by payer sources or patients.
Investigates denials from insurers to ensure claim resolution.
Prioritizes accounts to maximize dollars in collections.
Notifies supervisor of problem accounts and clinical issues needing billing and collections attention.
Researches and resolves delinquent accounts to ensure heaps of collections and reduce DSO.
Records database notes as specified by supervisor.
Submits appropriate documentation for adjustments, write‑offs, refunds, or bad debt to the appropriate supervisor, Accounts Receivable.
Communicates any IT issues to supervisor.
If assigned to the cash application function, performs all related duties as outlined by supervisor.
Performs special projects and other duties as requested.
Qualifications Education High school diploma or equivalent required. Some post‑secondary education preferred; additional training or working knowledge of related business.
Preferred Requirements
Understanding of medical terminology, coding, third‑party benefits, government payer regulations, collection techniques, and cash management.
Computer literacy; Excel experience a plus.
Two years’ experience in hospital access, a physician's office, or billing and collections, or equivalent education/experience.
Knowledge of government payer regulations and third‑party payer guidelines.
Excellent communication skills, oral and written.
Ability to analyze data, perform multiple tasks, and work independently.
Ability to develop and maintain professional, service‑oriented relationships with patients, pay sources, and co‑workers.
Understanding and compliance with policies and procedures.
Detail‑oriented with time management, analytical, and organizational skills.
Knowledge, Skills, and Abilities Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks, and work independently. Must develop professional service‑oriented relationships with patients, pay sources, and co‑workers. Should comply with policies and procedures. Must perform each essential duty satisfactorily. Required characteristics: detail‑oriented, time management, analytical, organizational, independent worker.
EEO Statement Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy‑related conditions), sexual orientation, or military status.
Essential Physical Job Functions Certain jobs at Duke may include essential 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.
Duke Community Statement Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our success depends on a robust exchange of ideas. All voices must be heard and respected. All members of the community have a responsibility to uphold these values.
#J-18808-Ljbffr