Reimbursement Specialist – Outpatient Medication Authorization

Duke University Health System

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

Posted 9/22/2026full-timeRemote • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing departmental performance, managing accounts receivable, and ensuring compliance in billing processes. Proficient in coordinating projects and audits to enhance revenue cycle efficiency and providing training to staff.

Highest-signal resume keywords

Clinical And Coding KnowledgeRevenue Cycle ManagementAccounts Receivable ManagementFinancial Reporting SystemsProject Coordination

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisReport PreparationBudgetary ComplianceBilling EfficiencyPerformance Indicator Analysis

Soft Skills

CommunicationTraining And DevelopmentRelationship ManagementFeedback Provision

Industry Keywords

HealthcareFinancial SystemsAuditsDepartmental PerformanceInsurance Communication

About the role

Key responsibilities & impact

Compile, analyze, and report on departmental operating-unit performance
Analyze departmental-specific reports and provide feedback
Ensure accurate and compliant charge items and resolve billing inconsistencies using clinical and coding knowledge
Coordinate projects and audits to improve revenue-cycle processes, charging and billing efficiency, and collection efforts
Provide historical information to assist management with forecasting
Work with departmental directors, managers, and personnel to ensure budgetary compliance
Manage accounts-receivable and/or financial-reporting systems
Prepare reports and analyses for PRMO, DUHS, and PDC leadership
Coordinate communication among insurance companies, governmental agencies, providers, and support staff
Trend and report departmental performance indicators and goals
Recommend improvements to financial systems and conduct in-house operating-unit audits
Assist with departmental goal and objective development
Manage and delegate database inquiries when applicable
Create work assignments and train employees
Maintain professional relationships with internal and external agencies and professional organizations
Serve as liaison between physicians and the PRMO when applicable
Conduct employee quality reviews and provide feedback to management and employees when applicable
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 revenue cycle, charging, billing, accounts receivable, and/or financial reporting systems
Ability to analyze departmental reports and performance indicators
Ability to coordinate projects and audits
Ability to prepare written reports and analyses
Ability to communicate with insurance companies, governmental agencies, providers, and support staff
Degrees, Licensures, Certifications: N/A

Benefits

Comp & perks

Remote position
Monday–Friday first shift schedule
Equal Opportunity Employer
Reasonable accommodation information and provisions available