Reimbursement Specialist – Outpatient Medication Authorization

Duke Careers

. Compile, analyze, and report on departmental operating-unit performance .

Posted 9/21/2026full-timeRemote • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial reporting, accounts receivable management, and departmental performance analysis within the healthcare sector. Proficient in coordinating audits, improving revenue-cycle processes, and training staff to enhance operational efficiency.

Highest-signal resume keywords

Financial Reporting SystemsAccounts Receivable ManagementDepartmental Performance AnalysisProject CoordinationClinical And Coding Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial AnalysisBudgetary ComplianceRevenue-Cycle ImprovementData AnalysisAudit CoordinationPerformance Indicator TrackingJob-Specific Training DevelopmentBilling ComplianceForecastingDatabase Management

Soft Skills

CommunicationTeam LeadershipFeedback ProvisionRelationship ManagementTraining And Development

Industry Keywords

HealthcareRevenue CycleBillingFinancial SystemsDepartmental GoalsInsurance CommunicationGovernmental AgenciesProvider LiaisonQuality ReviewsOperational Audits

About the role

Key responsibilities & impact

Compile, analyze, and report on departmental operating-unit performance
Analyze departmental reports and provide feedback
Ensure accurate and compliant charge items and resolve billing inconsistencies
Coordinate projects and audits to improve revenue-cycle, charging, billing, and collection processes
Assist management with forecasting using historical information
Work with directors, managers, and relevant personnel to ensure budgetary compliance
Manage accounts-receivable and/or financial-reporting systems and prepare reports and analyses for PRMO, DUHS, and PDC leadership
Coordinate communication among insurance companies, governmental agencies, providers, and support staff
Track and report departmental performance indicators and goals
Recommend improvements to financial systems and conduct operating-unit audits
Help develop departmental goals and objectives
Manage and delegate database inquiries when needed
Create work assignments and train employees
Maintain relationships with internal and external agencies and professional organizations
Serve as liaison between physicians and the PRMO when needed
Conduct employee quality reviews and provide feedback to management and employees
Develop and provide job-specific training
Perform other related duties

Requirements

What you’ll need

High school diploma or equivalent required
Post-secondary courses in Accounting, Finance, Economics, Business Administration, or a related field preferred
Four years of related experience in healthcare required
A Bachelor's degree in a related field can substitute for the experience requirement
Clinical and coding knowledge
Knowledge of accounts receivable and/or financial reporting systems
Ability to analyze departmental reports and performance indicators
Ability to coordinate projects and audits
Ability to communicate with insurance companies, governmental agencies, providers, and support staff

Benefits

Comp & perks

Remote work arrangement
Monday–Friday, first-shift schedule
Equal employment opportunity
Reasonable accommodation support