Career Center
Johnson City , Tennessee
San Jose, California
San Jose, California
San Jose, California
Posted: 24-Jan-23
Location: Durham, North Carolina
Salary: Open
Categories:
Internal Number: 227052
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 Primary Care. 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.
The Associate Vice President - Billing & Collections, Self-pay, Pre-Service Verification and Customer Service (AVP) of the Patient Revenue Management Organization (PRMO) reports to the Vice President, Finance/Chief Operating Office of the PRMO and is responsible for the direction and oversight of the following units within the PRMO: Professional and Hospital billing and collections, Self-Pay, Pre-Service Verification, Customer Service and Payer Relations. The AVP coordinates with the other two PRMO AVPS, staff and stakeholders throughout Duke Health to ensure that all operational revenue management functions are aligned and optimized to meet or exceed patient requirements, maximize cash collections, and minimize cost to collect. In addition, the AVP plays a key role in setting and advancing the strategic vision and culture of the PRMO.
Job Duties and Responsibilities
- Provide direct oversight to four directors with approximately 400 exempt and non-exempt staff (most working remote) providing services related to billing, collections, customer service, pre-service verification and payer relations. Additionally, provide oversight and management of outsourcing vendor relationships providing approximately 325 FTE's in support of all functions noted above.
Entities served:
- Duke University Hospital
- Durham Regional Hospital
- Duke Raleigh Hospital
- Duke Primary Care
- Private Diagnostic Clinic
- Operate within a highly matrixed environment and build strong working relationships with key internal and external stakeholders, including leaders within the administrative, clinical and payer environments.
- Collaborate with the PRMO senior leadership team in setting the strategic vision for the PRMO and communicating that vision to Duke Health senior leadership, peers, stakeholders and direct reports
- Ensure compliant billing of patient services while minimizing lost revenue and cost to collect
- Oversee a patient-focused call center receiving approximately 1,500 phone calls daily from patients requiring assistance with revenue cycle concerns
- Support a diverse and inclusive PRMO culture in which all employees have a shared vision/purpose and sense of belonging
- Create a learning environment in which direct reports and staff are actively developed/coached and experience personal and professional growth
- Maintain current knowledge on legal, regulatory and contractual requirements/changes related to professional and hospital billing and pre-service verification requirements
- Maintain "best practice" and leverage technology to introduce innovation and reduce costs.
- Proactively work with commercial payers to minimize denials and reduce Days in Accounts Receivable Outstanding.
Required Qualifications at this Level
Education: | Bachelor's degree required. Master's degree preferred.
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Experience: | Ten years of progressive management and/or consulting experience in a healthcare environment is required, of which 5 of those years should be in management of people or projects. Extensive experience interacting with commercial payers, physician leadership and "C-level" hospital administration is required. |
Degrees, Licensure, and/or Certification: | None required. Past or present certification with Epic is preferred.
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Knowledge, Skills, and Abilities: | Technical: Advanced understanding of all revenue cycle functions and interrelationships. Experience with Epic is strongly preferred. Non-Technical: Strong leadership presence and skills. Proven capabilities in building and leading teams. Ability to work with others in a cooperative, collaborative manner. Strong written and oral communication skills.
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Distinguishing Characteristics of this Level
Successful candidates will demonstrate excellence in the following core competencies:
- Building effective teams/relationships
- Collaboration
- Fostering a high accountability environment
- Emotional intelligence
- Written and verbal communication
- Courage
- Talent development
- Strategic mindset
- Driving vision/purpose
- Working well in a fast-paced patient-focused environment
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University 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.
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 andwelcome, 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.
For assistance please contact customer service at 888.491.8833 x 2344 | candidatesupport@naylor.com .