Durham, North Carolina, United States · Hybrid
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Medicaid Eligibility Analysis, Financial Interviewing, Case Management, Regulatory Compliance, Bilingual Communication
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Patient Triage, Clinical Decision Making, Insurance Verification, Medical Coding, Patient Admissions
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Space Planning, Project Coordination, Employee Engagement, Faculty Affairs, Credentialing
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Patient Care, Vital Signs Monitoring, Electronic Medical Records, Medical Asepsis, Patient Positioning
Durham, North Carolina, United States · On-site
$50k–$68k/yr
Join Durham County Government Durham County Government is home to over 2,000 dedicated professionals working together to deliver essential services that strengthen and support our vibrant, diverse community. As the heart…
Skills: Office Management, Meeting Coordination, Minute Taking, Public Records Research, Customer Service
Durham, North Carolina, United States · On-site
$71k–$105k/yr
Job Summary The Associate Experience Manager provides hands-on support for platform experience work across the Revenue Enablement strategic programs portfolio. This role helps improve the seller and partner experience by…
Skills: Digital Enablement, Content Experience, Platform Operations, Stakeholder Engagement, Change Management
Carlsbad, California, United States · On-site
$34k–$119k/yr
Essential Functions • Assist Clinical Research Associates (CRAs) and Regulatory and Start-Up (RSU) team with accurately updating and maintaining clinical documents and systems (e.g., Trial Master File (TMF)) that track s…
Skills: Clinical Documentation, Trial Master File (TMF), Case Report Forms (CRF), Microsoft Word, Microsoft Excel
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Patient Registration, Insurance Verification, Point Of Service Collections, Appointment Scheduling, Referral Management
Durham, North Carolina, United States · On-site
$37k–$55k/yr
Join Durham County Government Durham County Government is home to over 2,000 dedicated professionals working together to deliver essential services that strengthen and support our vibrant, diverse community. As the heart…
Skills: Office Administration, Data Entry, Customer Service, Document Drafting, Payroll Processing
Durham, North Carolina, United States · On-site
Job Description: WHO We Are: Self-Help started in 1980 with a focus on economic inequality especially in communities that have faced systemic barriers in building wealth. At the core of what Self-Help does is a drive to …
Skills: Executive Administrative Support, Calendar Management, Travel Coordination, Expense Reporting, Board Relations
Durham, North Carolina, United States · On-site
$20/hr–$26/hr
Benefits: Opportunity for advancement Paid time off Training & development Customer Service & Scheduling Coordinator — Residential Glass The Glass Guru of Durham | Durham, NC (in-office) | Full-time $20 – $26/hour, based…
Skills: Customer Service, Scheduling, Dispatching, Phone Communication, Order Tracking
Durham, North Carolina, United States · Remote OK
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Compliance Auditing, Medical Coding, HIPAA Compliance, Revenue Cycle Management, Internal Auditing
Durham, North Carolina, United States · Remote OK
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Inpatient Coding, Compliance Auditing, Medical Billing, Provider Education, Risk Analysis
Durham, North Carolina, United States · Remote Solely
$51k–$127k/yr
Job Level: Remote Visit Coordinator, US Regional Specialist Location: Home-based in USA Job Overview Regional Specialists (RS) are an integral part of Remote Research Clinicians (RRC) visit delivery, serving as a key lia…
Skills: Clinical Trial Coordination, Stakeholder Communication, GCP Compliance, Project Management, Documentation Review
Durham, North Carolina, United States · Remote OK
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Data Analysis, Reporting, Billing, Collections, Insurance Claims
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Project Management, Data Analysis, Strategic Planning, Process Improvement, Executive Communication
Durham, North Carolina, United States · On-site
JOB PURPOSE: The duties and responsibilities include performing the day-to-day administrative secretarial and receptionist functions of the facility in accordance with current established procedures, and as directed by t…
Skills: Administrative Support, Receptionist Duties, Payroll Processing, Typing, Confidentiality
Durham, North Carolina, United States · On-site
$45k–$72k/yr
Duke University: Duke University was created in 1924 through an indenture of trust by James Buchanan Duke. Today, Duke is regarded as one of America’s leading research universities. Located in Durham, North Carolina, Duk…
Skills: Budget Maintenance, Financial Reporting, Policy Interpretation, Payroll Processing, Contracting
Durham, North Carolina, United States · On-site
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advanc…
Skills: Insurance Verification, Patient Registration, Financial Counseling, Medical Billing, Claims Resolution
Durham, North Carolina, United States · On-site
$20/hr–$32/hr
Duke University: Duke University was created in 1924 through an indenture of trust by James Buchanan Duke. Today, Duke is regarded as one of America’s leading research universities. Located in Durham, North Carolina, Duk…
Skills: Payroll Administration, HR Transaction Processing, Recruitment, Onboarding, SuccessFactors
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Coordinate and facilitate the Medicaid application process to ensure patient eligibility and reimbursement for healthcare services. This includes conducting in-depth financial interviews, representing patients at administrative hearings, and collaborating with state agencies.
Requires a Bachelor's degree in business, healthcare administration, accounting, finance, or a related field. A minimum of four years of related experience is required, with bilingual skills strongly preferred.
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.
This is a hybrid remote position working between 1-4 days a week remotely depending on the needs of the department
Monday - Friday 8:00am - 5:00pm
Conduct thorough, in-depth interviews and evaluate patient’s case for potential eligibility for Medical Assistance Programs and any applicable Purchase of Medical Care programs.
Analysis of patient’s assets, income, clinical history, and dependent responsibilities, must be conducted in a precise manner based on knowledge and interpretation of the federal regulations and Social Security Administration guidelines. Assess patient’s continuing care needs and determine correct program and certification period to minimize patient deductible and maximize entity reimbursement.
Communicate and advise patients on complex financial concepts and procedures of applying for Medicaid. In some cases, may act as the authorized patient’s representative for the purpose of initiating an application for benefits and for conducting any and all activities associated with determination of eligibility of benefits, including the initiation and conduct of administrative and /or judicial appeals. There is legal liability involved for the Medicaid Eligibility Analyst, as they are responsible to the county/state for the accuracy of information and actions taken on behalf of the patient. The Medicaid Eligibility Analyst has the ability to act for the individual and exercise the individual’s rights.
Coordinate and facilitate the completion of the Medicaid application. Gather and provide necessary verifications to establish Medicaid eligibility via direct contact with patient and/or patient’s family, employer, financial institution, vital statistics and other collaterals to the County Department of Social Services Income Maintenance Caseworker in the county of patient residency.
Follow-up with patient and the Department of Social Services to ensure all pertinent information has been provided relevant to the Medicaid application. This may require travel to county of patient residency for the purpose of transporting the patient to the Department of Social services for follow-up visits, obtaining additional records, and verifying or correcting information on behalf of the patient. Anticipate and troubleshoot logistic and compliance barriers.
Evaluate case files to determine issues and sufficiency of evidence or documentation, analyzing Social Security Administration rules, Division of Medical Assistance guidelines and relevant regulations for applicability. Initiate fact finding, research in support or denial of case merit. Based on findings, evaluate if challenge is appropriate and facilitate the request for a hearing from the responsible local agency or State Office of Hearings and Appeals if warranted.
Prepare hearing briefs, assemble documentary evidence and exhibits to represent the patient at local agency, State and Chief Hearing Officer hearings for the purpose of reversing a negative decision with or without the patient’s assistance. Interview, evaluate and prepare potential witnesses for substantive evidence in support of the decision reversal. Present patient
case, examine and cross examine witness, and enter evidence into the case file at adjudication hearings to establish patient’s eligibility for Medicaid.
Responsible for entering pertinent information into the hospital system and closely monitoring authorization dates and deductible amounts applied to patient accounts.
Reconcile account financial status coding monthly to ensure accounts are represented accurately.
Serve as an educational resource on Medicaid issues for patients, Social Workers, Physicians, Clinic and Admissions personnel.
Review and monitor revisions in policy/regulations for all Medicaid programs on a regular basis to determine the effect of these revisions on pending applications.
Perform other related duties incidental to the work described herein.
The Medicaid Eligibility Analyst is required to meet the following performance standards on a monthly basis:
Excellent communication skills, oral and written.
Managing sense of complex, high quantity, and sometimes contradictory information to effectively solve problems, while making good and timely decisions that keep the organization moving forward.
Ability to actively learn when facing new situations, adapt quickly and positively to change, perform multiple tasks and work independently.
Must be able to work collaboratively with others to meet shared objectives while maintaining professional, service-oriented working relationships with key stakeholders such as patients, physicians, case managers/social workers, co-workers, supervisors, and representatives at Department of Social Services/Department of Disability Services.
Shares own ideas/viewpoint in a compelling manner and negotiates skillfully when working toward an agreed solution or common goal.
Ability to engage with individuals in their feeling, capabilities, and perspectives in order to best meet and anticipate their needs.
Collaborate with others to promote cooperation and commitment within a team to achieve goals and deliverables. Must be able to understand, interpret, and comply with Duke Health and Medicaid policies and procedures.
Distinguishing Characteristics of this Level:
Position responsible for high production generated accurately in accordance with established business processes or regulation. Requires working knowledge of compliance principles. Job allows the opportunity to work independently.
Duke 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.
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.
We put the person who needs our care at the center of everything we do.
Duke University Hospital (DUH) is consistently rated as one of the best hospitals in the United States and is known around the world for its outstanding care and groundbreaking research. Driven to bring extraordinary discoveries to fruition, deliver cutting edge clinical services to patients, and apply care and compassion to all stages of care, we maintain an unwavering focus on making the individuals and communities we serve healthier. Today, DUH is the flagship of the Duke University Health System and a full-service, 957-bed, tertiary and quaternary academic medical center. Ranked nationally in 10 adult specialties by U.S. News and World Report for 2019-2020 and ranked first in North Carolina and first in the Raleigh-Durham area, care is delivered with inspiring passion and a deep commitment to put the person who needs our care at the center of everything we do.
Offices: 2301 Erwin Rd, Durham, North Carolina 27705, US
There are currently 604 open administrative positions in Durham, NC listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Duke Health Technology Solutions, Duke University Hospital, Durham County Government, Avance Care, IQVIA, among others. Browse the listings above to see every active employer.
Yes — 104 of the 604 open administrative positions offer remote or hybrid work (38 remote, 66 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
