- Entry level
- No Education
- Salary to negotiate
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 PrimaryCare. 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.
Processes urgent requests from health care facilities and physician offices for medical record copies. Screens authorization to validate presence of HIPAA required elements. Reviews patient authorization to identify dates of service, provider and specific documents requested. Selects clinical documents from the electronic record for the purpose of fulfilling the request.
Responds to telephone calls from third parties asking for the status of medical record copy requests. Assists requestor in understanding what is needed for submission of a HIPAA compliant authorization, provides explanation for canceled requests and responds to general inquiries about obtaining medical records. Guides walk-in requestors in completion of authorization forms and supporting documents for release of medical records and verifies patient id entity. Posts checks for medical record copies and processes credit card payments.
Knowledge of HIPAA regulations, NC Statute and DUHS Policies pertaining to release of information.
JOB RESPONSIBILITIES & PERCENTAGE OF TIME SPENT:
(5%) Reviews patient authorization to validate HIPAA required elements and in lieu of patient authorization verifies through the electronic health record that health care facility/physician office has referring relationship to Duke and provides requestor with send back letter for any re quests identified as not valid and provides requestor with reason
(40%) Reviews request for medical records to identify dates of service, provider and specific documents re quested, enters into the electronic ROI module and retrieves clinical documents from the electronic health record and faxes to requestor
(10%) Posts payment for record copies into the electronic ROI module, processes credit card transactions and reconciles the cash drawer
(5%) Greets visitors to the HIM Department needing medical record copies and serves as a reference in the completion of authorization forms and supporting documents, verifies patient identity through review of government issues ID and prints records when ready for pickup
(40%) Serves as the front line through receipt of telephone calls from third party requestors asking for the status of medical record requests, assists requestors in understanding what i s needed for submission of a HIPAA compliant authorization, provides explanation for canceled requests and responds to general inquiries about obtaining medical records. Triages requests as needed to include next level of management. Performs other duties as assigned
EDUCATION / TRAINING:
High school graduate or equivalent.
Two years of administrative support experience of increasing variety and/or complexity.
Creatively uses PC, word processing and other office tools.
Thorough knowledge of department policies, procedures and goals.
High school education or equivalent.
Two years of administrative support experience of increasing variety and/or complexity
Degrees, Licensures, Certifications
Job Code: 00004001 ADMINISTRATIVE ASSISTANT
Job Level: C2
Duke is an Affirmative Action/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, sexual orientation, or veteran 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.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
- customer service