Description

The Patient Revenue Management Organization (PRMO) Administrative Fellowship at Duke Health is a highly competitive, two-year program designed to develop future healthcare leaders within revenue cycle and finance operations. The fellowship offers early-career professionals a unique opportunity to gain hands-on experience in healthcare revenue cycle operations, strategic initiatives, and organizational leadership at one of the nation’s leading academic health systems. Fellows work closely with senior PRMO leadership on high-impact projects that drive financial performance, operational efficiency, and patient access across the enterprise. Through rotations and project-based work, fellows are exposed to key areas such as service access, financial services, coding, billing, denials management, customer service, and revenue integrity. The program emphasizes data-driven decision-making, process improvement, and cross-functional collaboration to support system-wide margin optimization. In addition to project work, fellows benefit from mentorship, executive engagement, and professional development opportunities tailored to build leadership, communication, and strategic thinking skills. The fellowship prepares participants for long-term careers in healthcare administration, particularly within revenue cycle leadership roles, by providing a comprehensive understanding of how financial operations support clinical care delivery and organizational sustainability.