Collection Specialist

We are seeking a Collection Specialist who will be responsible for the collections of unpaid medical insurance claims, and follow up on unpaid medical claims, as well as appealing these claims.

Specific Duties & Responsibilities

• Uses system collection reports, such as: aged trial balances, data search reports, and the Paperless Collection System (PCS) 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) on IDX as needed.
• Utilizes PCS to process A/R. Works PCS files to completion.
• Applies appropriate discounts/courtesies based on department policy.
• 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.
• 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.
• Research and resolve Production Unit posting errors during the month.
• Performs miscellaneous related duties and special projects as assigned.

Special Knowledge, Skills, & Abilities

• Ability to use various billing and patient information computer systems.
• Knowledge of various payer processing and submission guidelines.
• Knowledge of third-party payer requirements.
• Proficiency with IBM personal computers to include Word, spread sheeting in either Lotus or Excel and possible.
• Capable of meeting deadlines and focusing on details.
• Excellent customer service and communication skills, ability to diffuse difficult situations in a complex environment.
• Good understanding of third-party reimbursement policies and protocols.

Minimum Qualifications

• High School Diploma or graduation equivalent.
• One year experience in a medical billing or similar specialty environment required.
• Knowledge of medical terminology, CPT/ICD codes and diagnosis coding required.

Preferred Qualifications

• 2 years related experience.
• Experience in IDX and PCS.
• Database experience.

Classified Title: Collection Specialist
Role/Level/Range: ATO 40/E/02/OC
Starting Hourly Pay Rate Range: $15.00 - $19.90 HRLY (Commensurate with experience)
Employee group: Full Time
Schedule: M-F 8a-4:30p
Exempt Status: Non-Exempt
Location: Hybrid/JH at Middle River
Department name: SOM PMR Production Unit Billing
Personnel area: School of Medicine

Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:

*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.

**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

The successful candidate(s) for this position will be subject to a pre-employment background check.

The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

EEO is the Law
Learn more:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

Accommodation Information

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 Talent Acquisition Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu.

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.

The following additional provisions may apply, depending on campus. 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.

Note: 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 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.

EEO is the Law
Learn more:
https://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf
Important legal information
http://hrnt.jhu.edu/legal.cfm