Responsible for the daily supervision of centralized billing support staff including time and attendance, authorization of paid time off and monitoring compliance with personnel policies and procedures. Will work directly with production units to resolve payment and credit issues and with Third Party Reimbursement to resolve payer issues. This individual will assist in developing office policies and procedures, serve as a lead for troubleshooting, problem solving and will be expected to exercise independent judgment. Will be responsible for completing key tasks as needed and defined by department management.
Requires a thorough understanding of medical billing and experience using the appropriate billing system. Must possess excellent communication and customer service skills with the ability to work well under pressure. Maintain strict confidentiality of staff and patient information. Promote team work and identify areas of improvement and recommend coordinated actions to bring about changes.
Specific Duties & Responsibilities
Responsible for the daily supervision of billing staff including time and attendance, authorization of paid time off and monitoring of staff compliance with personnel policies and procedures.
Perform all management tasks such as distribution of work priorities and goals; recommendation in hiring and termination decisions, discipline, and performance reviews.
Monitor staff productivity and take actions to maximize.
Monitor budget vs. actual, pinpointing areas of concern and initiate corrective action.
Monitor productivity of credit staff; adjusting workflow to meet departmental targets.
Research and resolve problems as needed to ensure adherence with departmental policies and procedures.
Assist in the development of billing policies and procedures consistent and complementary to those already developed by the Physicians Billing Service.
Perform random audits to ensure all charges are billed in accordance with CPA billing standards.
Monitor and resolves inquiry e-mail accounts.
Monitors and resolves credit balances ensuring compliance with CPA policies for self pay and governmental refunds.
Work with the Cash Reconciliation team to assist in ensuring all outstanding items are resolved in a timely manner.
Monitors remit work queue edits ensuring staff are actively working the edits and identifying problems that need to be resolved.
Provides assistance over specific funtional areas as identified by the Sr. Production Unit Manager
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Utilize online resources including Epic to facilitate efficient credit resolution.
Requires a thorough understanding of medical billing and the unique customer service requirements as related to patients, physicians and administrative staff in a high volume medical services environment.
Excellent communication and customer service skills with the ability to work well under pressure.
Professional & Personal Development:
Participate in on-going educational activities.
Assist in the training of staff.
Keep current of industry changes by reading assigned material on work related topics.
Complete three days of training annually.
Must adhere to Service Excellence Standards.
Continuous Performance Improvement
Supervision of Others:
Provides daily supervision of assigned staff.
Associate’s Degree/two years of undergraduate training required in health care administration, business, or related discipline.
CPC certification is a plus.
Three years progressively responsible professional level experience in a physician’s group practice environment which includes two years supervisory experience required. Strong organizational and analytical skills.
Excellent organizational skills.
Aptitude for figures and attention to detail.
Ability to interact effectively.
Capable of meeting deadlines and working well under pressure.
Knowledge of PCs and PC applications.
Excellent interpersonal, communication and customer service skills required.
Knowledge of JHM and JHU/ PBS billing applications.
Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula. Additional experience may substitute for some education, 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 the 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. *
Physical requirements for the job:
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Able to sit in a normal seated position for extended periods of time.
Able to reach by extending hand(s) or arm(s) in any direction.
Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard.
Able to communicate using the spoken and written word.
Able to see within normal parameters and to hear within normal range.
Able to move about.
Able to lift minimum weight, 10 lbs.
Classified Title: Assistant Production Unit Manager Working Title: Assistant Production Unit Manager Role/Level/Range: ATO 37.5/03/OH Starting Salary Range: $53,643 - $73,746; Commensurate with Experience Employee group: Full Time Schedule: Monday-Friday, 8:30 am - 5:00 pm, Up to 37.5 hours per week Exempt Status: Exempt Location: 20-MD:JH at Franklin Square Department name: 10003880-SOM Admin CPA Refunds Personnel area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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