Billing & Collection Specialist

The Department of Neurology is seeking a Billing & Collection Specialist who will be responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and JHU/ PBS billing applications.

Specific Duties & Responsibilities

• Work with payers to resolve issues and facilitate prompt payment of claims.

• 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.

• Work on assigned payers or groups of outstanding patient accounts.

• Gather and verify 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. Apply appropriate discounts and courtesies based on department policy.

• Prepare delinquent accounts for transfer to self-pay collection unit according to the follow-up matrix.

• Print and mail claim forms and statements according to the follow-up matrix.

• Retrieve supporting documents (medical reports, authorizations, etc.) and submit to third-party payers.

• Appeal reflected claims and claims with low reimbursement.

• Confirm credit balances and gathers necessary documentation for processing refund.

• Identify insurance issues of primary vs. secondary insurance, coordination of benefits eligibility and any other issue causing non-payment of claims.

• Contact the payers or patient as appropriate for corrective action to resolve the issue and receive payment of claims.

• Monitor invoice activity until problem is resolved.

• Process daily mail, edit reports, file or pull EOB batches.

• Identify and inform the supervisor/Production Unit Manager of issues or problems associated with non-payment of claims.

• Perform other duties as required.

Additional Knowledge, Skills, and Abilities

• Ability to work independently.

• Ability to work with managers and staff at a more senior level.

• Excellent customer service and verbal and written communication skills.

• Good organization, time management, and follow up skills.

• Excellent interpersonal skills and the ability to interact effectively.

Minimum Qualifications

• High School or equivalent required.

• One year experience in a medical billing or similar specialty environment required.

• Experience using PCs and the ability to operate standard office equipment, such as copy machine, printer, scanner, fax, and calculator.

Preferred Qualifications

• Knowledge of JHM and JHU/ PBS billing applications and documentation systems.

Classified Title: Billing & Collection Specialist

Role/Level/Range: ATO 37.5/02/OC

Starting Salary Range: $15.50 - $25.00 HRLY (Commensurate with experience)

Employee group: Full Time

Schedule: M-F 8:30 am - 5:00 pm

Exempt Status: Non-Exempt

Location: Hybrid

Department name: SOM Neuro Production Unit Billing

Personnel area: School of Medicine

Equal Opportunity Employer

Johns Hopkins University is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. The university promotes affirmative action for minorities, women, disabled persons, and veterans.