Duke Revenue Cycle & Financial Management Fellowship

Welcome from the Preceptor

Keith Stover
VP, Finance & COO, Patient Revenue Management Organization

Thank you for your interest in the Duke Revenue Cycle and Financial Management Fellowship Program. Our fellowship program offers a unique opportunity to gain exposure to the complex relationship between revenue cycle management and clinical operations within a health system.

The Duke Revenue Cycle and Financial Management Fellowship Program is housed within the Patient Revenue Management Organization (PRMO), which is the centralized billing and collections office for the entire Duke University Health System. Formed in 2001, the PRMO focuses on streamlining the revenue cycle through enhanced management of Scheduling, Registration, Coding, Reimbursement, Billing, Collections, Managed Care Contracting, and Customer Service. The two-year fellowship program is designed to provide in-depth experience and knowledge of how revenue cycle financial management functions at all levels across the health system.

If you have questions regarding this information, I welcome you to contact myself or the current fellows at your convenience.

Sincerely,
Keith A. Stover, CPA
Vice President, DUHS Finance
Chief Operating Officer, Patient Revenue Management Organization

About the Fellowship

The Duke Revenue Cycle & Financial Management Fellowship offers the opportunity to gain in-depth experience and knowledge of how revenue cycle operations management impacts all levels across the health system. Efficient revenue cycle management is vital to health system sustainability and affects many aspects of hospital and clinical operations, such as clinical caregiving and documentation, hospital admissions, and the patient experience.

In the first year, the Fellow gains exposure to core revenue cycle competencies while developing relationships across the Duke Health entities. During the second year, the Fellow works closely with senior leadership within specific departments and service lines to develop competencies that will prepare the fellow for a post-fellowship position in their area of interest. Throughout the fellowship, the Revenue Cycle Fellow will gain familiarity with diverse revenue cycle organizational issues in the health system and gain practical administrative experience via involvement in various projects and rotations.

Program Details

Project Work

Fellowship projects begin with requests from senior leaders who identify priorities within various levels of the organization. The fellowship preceptor then reviews all requests for those that will best address the core competencies of the fellows. Fellows are also encouraged to seek out projects based on personal interests and professional goals. Examples of fellowship projects include:

Analyzed Duke University Health System's annual community benefit and modified policies to promote a patient centered financial policy. Validated Vendor information for a revision of workflows and policies.
Project management and led the Patient Demographic, Gender, Initiative for an interdisciplinary team to roll out Sexual Orientation and Gender Identity Epic enhancements and health system wide trainings. Reviewed and standardized organizational LGBTQ+ coding and billing processes
Project management for large-scale margin improvement initiative across the system. Coordinated with senior leadership to identify opportunities and execute revenue enhancing and cost-cutting measures.
Coordinated logistics for ICD-10 Go-Live, which included setting up provider training, elbow-to-elbow clinic support, and Go-Live command center.

Collaborated with Revenue Managers and external consultants to improve charge capture capabilities through rebill opportunities and clinical documentation enhancements.
Led cross-function workgroup to evaluate Coordination of Benefit denial workflows. Developed improvement initiatives across Service Access, Pre-Service Verification, and Billing & Collection areas to reduce denial prevalence.
Developed revenue cycle metrics and dashboards to track trending of patient access, revenue management, coding, HIM, and billing and collections for the entire health system.
Analyzed Financial Care Counselor prior authorization workflows to ensure alignment across Duke entities and promote efficiency through process improvement efforts and the development of resources.

Rotations

Fellows will be immersed in the revenue cycle through project-based work and observation rounding in the first year, and then may tailor their second year to their professional goals and interests. Rotations in these core areas will be included in the first year:

Service Access
Mid-Revenue Cycle Management
Billing/Collections

Fellows will have multiple opportunities to interact and participate with leadership and staff of all DUHS entities to enhance their education of how the PRMO contributes to clinical operations and our patients' healthcare experience.

Ready to learn more about the DUHS Fellowship Programs?

Application Information

PLEASE NOTE: The PRMO will be recruiting for the 2027-2029 rotation cycle

The Patient Revenue Management Organization Administrative Fellowship Program seeks diverse, motivated team players who desire to develop personally and professionally.

Requirements

A masters or other graduate-level degree
A strong interest in revenue cycle operations
A foundational knowledge in the core competencies of healthcare administration
Candidates must have completed the didactic degree requirements from accredited masters-level programs

Materials

Completed Application Form
Current Resume/CV (2-page limit)
Graduate School Transcript (Official or Unofficial)
Faculty Recommendation* (Limit 1)
Other Recommendation* (Limit 1)
Personal Statement (1-page limit)
Essay Response (1-page limit)

Timeline

1st Round Interviews: Early September
2nd Round Interviews: Mid-September
On-Site Final Round Interviews: Late September
The fellowship offer must be accepted within 24 hours

*Please address letters of recommendation to the PRMO Administrative Fellowship Selection Committee*

Please note:

We are unable to sponsor international visas at this time
You may apply to multiple administrative fellowship programs. Please ensure you read each program’s requirements carefully and submit all required materials to each program
Candidates must have completed the didactic degree requirements from accredited masters-level programs
Revenue cycle experience is not required

Current Fellows

First Year Fellows

Dean Tilger, MHA

Hometown: Plano, TX
Graduate Education: The Ohio State University
Interests: Hiking, Watching Sports, Working Out, and Spending Time with Friends and Family

Email Dean