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Job Req ID:  56916

CO Collection Specialist

General Summary/Purpose

The Collection Specialist uses system collection reports, such as: aged trial balances, data search reports, and Epic work queues to identify unpaid claims for collection/appeals.

 

Specific Duties & Responsibilities

 Uses system collection reports, such as: aged trial balances, data search reports, and Epic work queues to identify unpaid claims for collection/appeals. Communicates with third-party payers, patients, physicians, and other parties to resolve unpaid claims. Reviews and updates patient registration information (demographic and insurance) in Epic as needed. Utilizes follow up work queues to process A/R and works to completion. Applies appropriate discounts/courtesies based on department policy. Prints and mails claim forms and statements according to the follow-up matrix. Works in Epic Claim work queues, as well as Availity to process claim-related edits. Retrieves supporting documents (medical reports, authorizations, etc.). as needed and submits to third-party payers. Identifies and informs the Supervisor/Production Unit Manager of issues or problems associated with non-payment of claims. Appeals rejected claims and claims with low reimbursement. Identifies and informs management of systems or operational issues affecting collections, reimbursement and/or day in accounts receivable. Processes third-party payer correspondence for resolution and/or payment of claims. Researches and resolve Production Unit posting errors during the month.

 

Minimum Qualifications (Required)

High School Diploma/GED.

One (1) year experience in a medical billing or similar medical specialty environment required.

 

Additional education may substitute for required experience to the extent permitted by the * JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience.  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. *

 

Special Knowledge, Skills, and Abilities

  • Knowledge of medical terminology, CPT codes and diagnosis coding required.
  • Excellent interpersonal, communication and customer service skills required.
  • Ability to use various billing and patient information computer systems preferred.
  • Knowledge of various payer processing and submission guidelines preferred.

 

Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.

 

Classified Title: Collection Specialist 
Working TitleCO Collection Specialist 
Role/Level/Range: ATO 40/E/02/OC 
Starting Hourly Pay Rate Range: $13.36 - $18.41 /Commensurate with Experience
Employee group: Full Time 
Schedule: Monday - Friday, 8:00a - 5:00p/ 40 hrs per week 
Exempt Status: Non-Exempt  
Location: 16-MD:JH at White Marsh 
Department name: 10003198-SOM Sur Production Unit 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 jhurecruitment@jhu.edu. 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.

 

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled. 

 

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https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

JH at White Marsh