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Job Req ID:  261

CO Collection Specialist

Range: OC

Level: 2

Salary: $26,979-$37,170

Status: Full Time, 40 hrs/wk Monday-Friday

School: School of Medicine

Department: Anesthesiology & Critical Care Medicine

Location: JH at Franklin Square

Location City: Baltimore

Location State: MD



General Description


Principal Duties and Responsibilities:


• Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal.

• Gathers and verifies all information required to produce a clean claim.

• Reviews and updates patient registration information.

• Applies appropriate discounts / courtesies based on department policy.

• Prepares delinquent accounts for transfer to self-pay collection unit.

• Prints and mails claim forms and statements.

• Retrieves supporting documents as needed and submits to third party payers.

• Appeals reflected claims and claims with low reimbursement.

• Confirms credit balances and gathers necessary documentation for processing refunds.

• Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility, and any other issue causing non-payment of claims.

• Contacts the payers or patient as appropriate for corrective action to resolve the issue and receive payment of claims.

• Monitors invoice activity until problems are resolved.

• Processes daily mail, edits reports, and files or pulls EOB batches.

• Identifies and informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims.



HS Diploma/GED and one year medical billing experience. Must have expertise in insurance follow-up processing and be knowledgeable in CPT and diagnosis coding. Also, must have an understanding of claims submission requirements for all payers


Preferred Qualifications

Two years’ experience. CPC. Additional education may substitute for 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.

JH at Franklin Square

Job Postings are updated daily and remain online until filled.
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 For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply, depending on at 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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