The Department of Orthopedic Surgery is seeking a full-time Collections Specialist to join the production unit team. This person 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.
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.
Two years related experience.
Ability to use various billing and patient information computer systems.
Knowledge of various payer processing and submission guidelines. Experience in IDX and PCS. Knowledge of third-party payer requirements.
Classified Title: Collection Specialist Role/Level/Range: ATO 40/E/02/OC Starting Hourly Pay Rate Range: $15.00-$19.90-$24.50 HRLY (Commensurate with experience) Employee group: Full Time Schedule: Monday- Friday 8:30 Am – 5 PM Exempt Status: Non-Exempt Location: Remote Department name: SOM Ortho Production Unit Billing Personnel area: School of Medicine
Total Rewards The referenced salary range is based on Johns Hopkins University's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/
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. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
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.
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 firstname.lastname@example.org. 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.
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.
Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130 years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Bal...timore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.