CO Pro Fee Coordinator

Specific Duties & Responsibilities:

Procedural Knowledge:

• Responsible for maintaining and monitoring the day to day processing of assigned dental billing functions within the Unit.
• Responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and JHU/ PBS billing applications.
• 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 including special billing procedures that may be defined by a payer or contract.
• Review and update patient registration information (demographic and insurance) as needed.
• Applies appropriate discounts / courtesies based on department policy.
• Prepares delinquent accounts for transfer to self-pay collection unit according to the follow-up matrix.
• Prints and mails claim forms and statements according to the follow-up matrix.
• Retrieves supporting documents (medical reports, authorizations, etc) as needed and submits to third party payers.
• Appeals reflected claims and claims with low reimbursement.
• Monitor invoice activity until problem is resolved.
• Process daily mail, edits reports, file or pull EOB batches.
• Responsible for reviewing and analyzing the accuracy of staff work.
• Responsible for overseeing the business unit in the absence of the management.
• Assist in training new staff and existing staff members.
• Provide feedback regarding problems to management and assists in problem resolution.
• Generate weekly and monthly productivity reports as assigned.
• Communicate with appropriate individuals outside the assigned department or institution as designated by management.
Assists management in assigning and tracking a portion of the daily work. Serves as back-up for report generation in Manager’s absence.
• Serve as a resource for staff questions and provides staff training as needed.
Identifies and resolve key issues and takes appropriate action to respond to complex patient and medical insurance inquiries.

Technical Knowledge:

• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Utilize online resources to facilitate efficient claims processing.
• Base knowledge of dental codes and insurances.
• Uses relevant functions of (IDX) and (EPIC) billing systems.

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.

Department Specific Responsibilities:

• Will work with the Maxillofacial Dental team to provide expert medical billing activities. Will also work with Otolaryngology billing team on an as needed basis.

Service Excellence:

• Must adhere to Service Excellence Standards.
• Customer Relations
• Self-Management
• Teamwork
• Communications
• Ownership/Accountability
• Continuous Performance Improvement

Minimum Qualifications (Mandatory):

HS/GED required.Associate’s degree or higher level degree preferred.
• Two years’ experience medical billing experience in a similar environment is required.
• 1-2 years of experience in dental billing preferred.
• Additional education may substitute for required experience, to the extent permitted by the JHU equivalency formula.

Special Knowledge, Abilities & Skills:

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

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.

Classified Title: Pro Fee Coordinator
Working Title: Pro Fee Coordinator (Hybrid with Collection Specialist)
Role/Level/Range: ATO 40/E/02/OD
Starting Salary Range: $15.26 - $21.00/hr (commensurate with experience)
Employee group: Full Time
Schedule: M-F 8 to 4:30 pm
Exempt Status: Non-Exempt
Location: School of Medicine Campus
Department name: SOM Oral Sur Dental and Oral Medicine
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 atjhurecruitment@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.

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