CO Collection Specialist

We are seeking a CO  Collection Specialist will follow-up with insurance companies to collect outstanding accounts for which payment has not been received in response to the claims submission process, either electronically or by paper. The Specialist will be assigned payer groups of outstanding patient accounts. Various methods of follow-up will be used. The specialist must have expertise in insurance follow-up processing and be knowledgeable in CPT and ICD-10-CM coding as well as have an understanding of the JHOC registration process and be able to recognize and resolve incorrect demographic and insurance registration. The Specialist must have an understanding of claims submission requirements for all payers to expedite payments as well as knowledge of appeals and rejections processing. This person must have excellent communication skills coupled with patience and fortitude.

Specific Duties & Responsibilities

• Identifies problem issues on outstanding patient accounts. Works to resolve issues so that invoice will be processed by payor or balance moved to patient responsibility.
• Identifies insurance issues of primary vs secondary insurance, coordination of benefits, Eligibility and any other issue causing non-payment of claims. Contacts the payer or Patient as appropriate for corrective action to resolve the issue and receive payment of Claims.
• Handles patient account inquiries and assists patients with filing or re-filing of claims including secondary insurance.
• Communicates with patients, physicians and insurance companies to resolve accounts. This includes resolving issues identified through incoming correspondence.
• Print and mail/fax claim forms and statements as requested by patients, insurance companies or other authorized third parties.
• Confirm credit balances and gather necessary documentation for processing refund.
• Prints medical notes from the EPIC system when needed for the processing of claims.
• Working knowledge of EPIC billing and registration systems.
• Participate in bi-weekly meetings and conference calls.
• Communicate trends and A/R issues to management.
• Assist with charge corrections and other minor coding issues.
• Maintain personal productivity goals.
• Stay abreast of insurance guidelines (attending webinars and providing updates from websites)

Minimum Qualifications

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

Classified Title: Collection Specialist
Job Posting Title (Working Title): CO Collection Specialist
Role/Level/Range: ATO 37.5/02/OC
Starting Salary Range: $15.50 - $25.00 HRLY ($42,000 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F 8:30a-5p
Exempt Status: Non-Exempt
Location: Remote
Department name: SOM Rad 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. 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.

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

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. The COVID-19 vaccine does not apply to positions located in the State of Florida. 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.

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