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Patient Account Associate, Special Programs – Vendors
Duke University Health System. Record and generate information pertaining to the patient revenue process .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing patient revenue processes, including accounts receivable resolution, claim edits, and denial management while maintaining compliance with HIPAA standards. Proven ability to analyze data, communicate effectively, and foster professional relationships within a healthcare environment.
Highest-signal resume keywords
Accounts Receivable ManagementClaim Denial ResolutionHIPAA ComplianceData AnalysisPatient Relationship Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Revenue ProcessAccounts ReceivableClaim EditsInsurance Follow-UpData EntryMathematical PrinciplesDocumentationProcess ImprovementProductivity TrackingOffice Equipment Operation
Soft Skills
Oral CommunicationWritten CommunicationIndependent WorkService-Oriented RelationshipsConfidentiality Maintenance
Tools & Technologies
Hyland WorkflowSpreadsheetsOffice Equipment
Industry Keywords
HealthcareBilling and CollectionsPatient RegistrationPayor RelationsTimely-Filing
About the role
Key responsibilities & impact- Record and generate information pertaining to the patient revenue process
- Review and resolve accounts receivable associated with all payors
- Work with vendors, Payor Relations, and operational areas to resolve outstanding accounts receivable
- Update patient registration when working registration-related denials
- Review payor websites for claim status, outstanding accounts receivable, appeals, and medical-document submissions
- Resolve payor denials according to payor requests and guidelines
- Resolve vendor-question workqueues and provide appropriate responses
- Support claim edits, claim denials, insurance follow-up, and claim statusing across departmental books of business
- Achieve projected cash collections and maintain specified days revenue outstanding and denial-rate targets
- Maintain work queues below one week of inventory while avoiding timely-filing losses
- Make independent decisions regarding claim edits, denials, follow-up, and correspondence documentation
- Document write-off requests with the appropriate paycode
- Submit weekly Productivity Time Tracking Sheets
- Suggest process improvements and report trends or system problems to management
- Respond to supervisor, team, customer, and patient-related inquiries within required timeframes
- Maintain Hyland workflow and medical-record processes
- Attend meetings, participate on committees and departmental events, and provide cross-coverage
- Operate office equipment, generate letters, use spreadsheets, and enter and sort data
- Complete required safety and annual online training and participate in work-culture initiatives
- Maintain confidentiality and comply with PRMO, DUHS, HIPAA, attendance, and other applicable policies
Requirements
What you’ll need- Must reside in North Carolina
- High school education-level knowledge of basic grammar and mathematical principles required
- Some postsecondary education preferred
- Two years of experience working in hospital access, a physician office, or billing and collections, or an equivalent combination of relevant education and/or experience
- Excellent oral and written communication skills
- Ability to analyze data, perform multiple tasks, and work independently
- Ability to develop and maintain professional, service-oriented relationships with patients, physicians, coworkers, and supervisors
- Ability to understand and comply with policies and procedures
- Ability to maintain confidentiality of patient and guarantor financial and medical data consistent with HIPAA standards
- Ability to operate general office equipment, generate letters, work on spreadsheets, and enter and sort data
Benefits
Comp & perks- Equal Opportunity Employer committed to providing employment opportunity without regard to protected characteristics
- Reasonable accommodation information and provisions available upon request
- Training and development via internal/external sources during the review period
- Participation in departmental events, committees, cross-department initiatives, and projects
- Remote position, Monday–Friday