The Department of Medicine is seeking a Collection Specialist who will be responsible for collection of unpaid third-party claims and appeals and will work with the payers' to resolve issues and facilitate prompt payment of claims.
Specific Duties & Responsibilities:
Utilizes the EPIC system for the daily flow of accounts to identify unpaid claims for follow-up.
Communicates with third-party payers, patients, physicians, and other parties to resolve unpaid claims. Review and update patient registration information (demographic and insurance) in EPIC as needed.
Posts appropriate adjustments and discounts as dictated by departmental policies.
Utilizes all methodologies of third party payor contact [web, Real-Med, fax, etc.] for the timely resolution of unpaid claims.
Retrieves supporting documents (medical reports, authorizations, etc) as needed for review and/or submission to third-party payers. Non CPCs must have all medical records reviewed and approved by Lead Staff CPCs prior to mailing out.
Identifies and informs the supervisor / Production Unit Manager of issues, trends and/or problems associated with non-payment of claims.
Works with Claims Coordinator to resolve edits associated with unpaid, unprocessed and/or rejected claims.
Minimum Qualifications (Mandatory):
High School Diploma or equivalent required.
One year experience in a medical billing or similar medical specialty environment required.
Minimum, one year medical billing [insurance] experience required;
Two years preferred; CPC preferred.
Special Knowledge, Skills, and Abilities
Knowledgeable in medical terminology and CPT/ICD coding basics.
Ability to utilize various billing, payor and patient information systems.
Savvy in MD payer processing rules & regulations, their respective submission guidelines and their procedures and policies for rejection and appeal processing.
Classified Title: Collection Specialist Role/Level/Range: ATO 40/E/02/OC Starting Hourly Pay Rate Range: $15.11 - $20.79/hr (commensurate with experience) Employee group: Full Time Schedule: Monday - Friday, 8:30a-5:00p Exempt Status: Non-Exempt Location: JH at White Marsh Department name: SOM DOM Billing 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 firstname.lastname@example.org. 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.
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.
Equal Opportunity Employer Note: Job Postings are updated daily and remain online until filled.
Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130 years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Bal...timore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.