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.

Occ Summary

Coordinate and participate in a variety of duties associated withdaily clinic preparation process, patient identif ication, patient checkin/out, charge posting, cash management and patien t appointmentscheduling. Position also involves customer service, messag edistribution, ancillary scheduling and preparation and referralsmanagem ent.

Work Performed

Prepare for clinic visits by rev iewingnext day patients andcompleting next day preparation activities. E nterpre-visit orders andprepare new patient charts. Pick up X-rays, offi cecharts, medicalrecords, reports, petty cash and collections bag. File history sheets,ancillary reports and all other required patient record d ocumentation.Return medical records. Attach HIPPA/Medicare documents to theencounter forms.Check-in patient upon arrival in the practice. Ident ifycorrect patientinformation in Maestro Care. Verify patient demographi cdata. EditMaestro Care as needed. Accurately identify the appropriate accountfor patient visit. Present and educate patients on required forms andobtain signature as required by policy and procedure. Completes allMa estro Care check-in files and manage all appropriate alerts. Collectand post co-payments and balances on accounts due. Imprint all patientspecif icchart documents and requisition/transmittal documents. Copy,file and d istribute insurance cardsas indicated by procedure.Coordinate all labs/p roceduresas requested. Maintain private physicianoffice charts.Prepareen counter forms. Investigate and account for missing encounterforms. Audit encounter forms for completeness and accuracy beforebatching. Batches en counter forms or charge posting in Maestro Care.Schedule tests and proce dures. Complete and distributeancillary service requisitions.Explainbill ing to patientsaccording to PRMO credit and collection policies. Determi ne the amountof cash to be collected based on insurance plan.Check-outpa tients. Make return appointments by scheduling patients into thecorrectappointment type, entering the primary care physician orreferring physici an and scheduling tests and procedures.Answer telephone, take anddeliver messages to physicians, nurses andothers. Report obtained medical infor mation from patients and referringphysicians accurately, completely and timely. Disseminate messagesaccording to practice communication standard s

Knowledge, Skills and Abilities

Strong verbal and written communication. Basic PC and data entryskills. Knowledge of medic al terminology and telephone etiquette.Demonstrated ability to organize and prioritize work, provide oral andwritten instructions, interact tact fully with customers and establishand maintain effective relationshipswi th others. Must be able to applyspecific departmental policies rulesand regulations relating toverifying patient information, collecting payment s and maintainingrecords and forms.

Level Characteristics

N/A

Minimum Qualifications

Education

Work requires knowledge of basic grammar and mathematical principles normally acquired through high school education

Experience

Minimum of one year of work experience in directly communicating and activities. providing service to patients or public; preferably in a healthcare related field. Experience in effectively coordinating multiple tasks or

Degrees, Licensures, Certifications

N/A

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