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Career Opportunities: Collection Specialist (116478)

Remote: 
Full Remote
Salary: 
30 - 48K yearly
Work from: 
United States

Offer summary

Qualifications:

High School Diploma or equivalent, One year experience in medical billing, Knowledge of CPT/ICD codes required, Ability to use billing information systems.

Key responsabilities:

  • Collects and appeals unpaid medical insurance claims
  • Communicates with third-party payers and patients to resolve claims
The Johns Hopkins University logo
The Johns Hopkins University Education XLarge https://www.jhu.edu/
10001 Employees
About The Johns Hopkins University
We are America’s first research university, founded in 1876 on the principle that by pursuing big ideas and sharing what we learn, we can make the world a better place. For more than 140 years, our faculty and students have worked side by side in pursuit of discoveries that improve lives. Johns Hopkins enrolls more than 24,000 full- and part-time students throughout nine academic divisions. Our faculty and students study, teach, and learn across more than 260 programs in the arts and music, the humanities, the social and natural sciences, engineering, international studies, education, business, and the health professions.The university has four campuses in Baltimore; one in Washington, D.C.; one in Montgomery County, Maryland; and facilities throughout the Baltimore-Washington region as well as in China and Italy. The university takes its name from 19th-century Maryland philanthropist Johns Hopkins, an entrepreneur who believed in improving public health and education in Baltimore and beyond.
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Job description

 

The Department of Orthopaedic 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.


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
  • 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 37.5/02/OC  
Starting Salary Range: $15.70 - $25.25 HRLY (Commensurate with experience) 
Employee group: Full Time 
Schedule: Monday - Friday 8:30a-5p 
Exempt Status: Non-Exempt 
Location: Remote 
Department name: SOM Ortho Production Unit Billing  
Personnel area: School of Medicine 

 

 

 

Required profile

Experience

Industry :
Education
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

ICD Coding (ICD-9/ICD-10)Medical TerminologyMedical BillingClaims Processing

Other Skills

  • Data Reporting
  • Communication
  • Problem Solving
Are you interested?

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