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 PrimaryCare. 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.
Coordinate and participate in a variety of duties associated with daily clinic preparation process, patient identification, patient checkin/out, charge posting, cash management and patient appointment scheduling. Position also involves customer service, message distribution, ancillary scheduling and preparation and referrals management.
Prepare for clinic visits by reviewing next day patients and completing next day preparation activities.
Enter pre-visit orders and prepare new patient charts. Pick up X-rays, office c harts, 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 visit.
Present and educate patients on required forms and obtain signature as required by policy and procedure.
Completes all Maestro Care check-in files and manage 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.
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
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.
Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education
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
Degrees, Licensures, Certifications
Job Code: 00004502 PATIENT SERVICE ASSOCIATE Job Level: B2
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