The Department of Medicine is seeking a Collection Specialist who will be responsible for collection of unpaid third-party claims and appeals. This individual 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.
Minimum, one (1) year medical billing [insurance] experience required;
Knowledgeable in medical terminology and CPT/ICD coding basics.
Two years preferred; CPC preferred.
Special Knowledge, Skills, and Abilities
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: M-F 8:30-5:00 Exempt Status: Non-Exempt Location: JH at Whitemarsh 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 [email protected]. 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.
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