Revenue Operations Specialist assessing and optimizing GTM operations and tools at Trulioo. Collaborating with various teams to enhance revenue processes in a hybrid working environment.
About the role
- Revenue Manager coordinating charge capture, billing, and operational performance for healthcare revenue cycle. Leading teams and optimizing processes in a clinical setting at Duke Health.
Responsibilities
- Reporting to the Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow up, reimbursement analysis, or other PRMO function within the assigned clinical area.
- Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections.
- Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for assigned clinical area.
- Review and recommend changes/updates to the departments charge master(s) to maintain fees at levels that maximize reimbursement.
- Review and recommend changes to department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT/HCPCS and ICD-10 updates.
- Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement.
- Work with financial analyst, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues.
- Act as a liaison to management and staff in the designated clinical area, Patient Revenue Management Organization (PRMO), Duke University Health System (DUHS), Duke Health Integrated Practice, and third-party payers on revenue cycle activities for assigned areas.
- Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area.
- Coordinate revenue management orientation and educational activities of clinical personnel including providers and staff about coding and other outstanding revenue cycle issues.
Requirements
- Bachelors degree required.
- Masters degree preferred.
- At least 6+ years of relevant Healthcare Care experience preferably in Charge Integrity/Revenue Management is required.
- Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative), or BSN RN preferred.
Benefits
- Duke Health is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Revenue Operations Insights Analyst delivering actionable insights for Trulioo's revenue growth. Collaborating with Marketing, Sales, and Customer Success to enhance performance metrics and strategic decisions.
Senior Revenue Operations Analyst supporting APJ Sales Theater and ASIA region at Trellix. Driving bookings, forecasting, and pipeline analysis in a hybrid role.
Revenue Operations Analyst focusing on top - of - funnel go - to - market motions at BizzyCar. Collaborating with leadership to transform revenue processes and analytics for automotive technology.
Senior Director of Revenue Operations driving revenue growth and operational excellence at Fonoa. Collaborating across teams to ensure revenue goals are surpassed while uncovering future growth opportunities.
Senior Revenue Operations Project Manager overseeing projects to enhance business outcomes at Tanium. Collaborating across teams to optimize processes and systems for better efficiency and effectiveness.
Senior Revenue Operations Project Manager overseeing process optimization initiatives at Tanium. Collaborating across teams to enhance business outcomes with a focus on efficiency and effectiveness.
Senior Revenue Operations Project Manager overseeing operational initiatives and optimizing business outcomes at Tanium. Collaborating across teams to implement best practices in processes and systems.
Senior Revenue Operations Project Manager overseeing project initiatives at Tanium to optimize business processes and enhance operational efficiency.
Senior Revenue Operations Project Manager overseeing initiatives to optimize business outcomes at Tanium. Leading project plans and collaborating with various teams to enhance efficiency and effectiveness.