The Department of Radiology is seeking a full time Collection Specialist. Collection Specialist will follow-up with insurance companies to collect outstanding accounts for which payment has not been received in response to the claims submission process, either electronically or by paper. The Specialist will be assigned payer groups of outstanding patient accounts. Various methods of follow-up will be used. The specialist must have expertise in insurance follow-up processing and be knowledgeable in CPT and ICD-10-CM coding as well as have an understanding of the JHOC registration process and be able to recognize and resolve incorrect demographic and insurance registration. The Specialist must have an understanding of claims submission requirements for all payers to expedite payments as well as knowledge of appeals and rejections processing. This person must have excellent communication skills coupled with patience and fortitude.
Identifies problem issues on outstanding patient accounts. Works to resolve issues so that invoice will be processed by payor or balance moved to patient responsibility.
Identifies insurance issues of primary vs secondary insurance, coordination of benefits, Eligibility and any other issue causing non-payment of claims. Contacts the payer or Patient as appropriate for corrective action to resolve the issue and receive payment of Claims.
Handles patient account inquiries and assists patients with filing or re-filing of claims including secondary insurance.
Communicates with patients, physicians and insurance companies to resolve accounts. This includes resolving issues identified through incoming correspondence.
Print and mail/fax claim forms and statements as requested by patients, insurance companies or other authorized third parties.
Confirm credit balances and gather necessary documentation for processing refund.
Prints medical notes from the EPIC system when needed for the processing of claims.
Working knowledge of EPIC billing and registration systems.
Participate in bi-weekly meetings and conference calls
Communicate trends and A/R issues to management
Assist with charge corrections and other minor coding issues
Maintain personal productivity goals
Stay abreast of insurance guidelines (attending webinars and providing updates from websites)
GED or High School diploma required.
Minimum of 1 year of billing, registration or clinical workflow experience. required.
Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula***.
*** JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
Classified Title: Collection Specialist Working Title: CO Collection Specialist Role/Level/Range: ATO 40/E/02/OC Starting Salary Range: $13.36-$18.41 per hour Employee group: Full Time Schedule: Monday-Friday/8:30am-5:00pm/40 hours Exempt Status: Non-Exempt Location: 02-MD:Mount Washington Campus Department name: 10003158-SOM Rad Production Unit Billing Personnel area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
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