Retina Drug Coordinator

2 weeks ago

Baltimore, Maryland, United States Johns Hopkins University Full time
Job Req ID: 113172

Retina Drug Coordinator


We are seeking a Retina Drug Coordinator who will manage all administrative aspects of the patient encounter involving intravitreal injection therapy.

This includes accurate data entry on each patient to facilitate the appropriate pre-certification of therapy, expediting the check-in / check-out process, and afford appropriate billing.

Specific Duties & Responsibilities

  • Confirms all needed forms are up to date, and signed (Outpatient agreement, consents)
  • Obtains pre-certification as required by patient's healthcare insurer or managed care provider.
  • Obtains preauthorization for retina drug injections with following the insurance guidelines process.
  • Checks over provider schedules 2 weeks in advance for errors and repeats within 48 hours of date of service for any urgent additions.
  • Follows payer guidelines.
  • Follows ICD-10 codes to ensure diagnosis codes are appropriate for each retina drug prior to claim submission.
  • Follows limiting coverage guidelines for diagnosis coding by using LCD/NCD/payer policy information and assigns appropriate modifiers based on departmental policy.
  • Maintains familiarity with various types of insurances. Contacts insurance carriers for clarification of coverages to avoid denials of payment.
  • Monitors and responds to assigned work queues.
  • Provides support to both East Baltimore and satellite clinics during events of short staffing ( sickness, vacation, meetings)
  • Guides patients and families to appropriate resources (financial counselors, international office, social worker, drug copay assistance programs)
  • Assists in enrolling patients in drug copay assistance programs and tracking payments.
  • Verifies insurance information for each injection scheduled.
  • Works closely with both Wilmer billing and Office of Managed Care to keep abreast of ever- changing payor procedures
  • Works closely with Wilmer IT for continued evaluation of EPIC documentation and workflows needed to improve communication errors adding to ultimate denials.
  • Reviews with patients all pre / post procedure instructions and assists with necessary forms for completion. Obtains needed signatures and scans documents into Epic.
  • Reviews with patients all insurance requirements before procedure and works with the patient and billing office to ensure all proper financial arrangements have been made.
  • For international patients, works with the International Office to ensure financial clearance and scheduling.
  • Ensures that all patient questions have been answered by the appropriate staff.
  • Coordinates details for each procedure, inclusive of time sensitive appointments for series injections.
  • Works with financial clearance and production unit staff to assist patients in financial need.
  • Works with social worker to assist patients with resource challenges.
  • Works with the staff to develop, implement and manage systems to ensure all required components are completed for intravitreal treatment patients, i.e., consents and waivers.
  • Speaks to each patient in a kind and professional manner.
  • Works collaboratively with others.
Minimum Qualifications

  • High School Diploma / GED.
  • Three years experience in similar service-oriented industry.
  • Basic computer skills.
Preferred Qualifications

  • Two years' experience in related field and/or JHHS entity.
  • Knowledge of medical insurance and/or medical terminology.

Classified Title:
Clinical Program Coordinator

Job Posting Title (Working Title): Retina Drug Coordinator

Role/Level/Range:
ATO 40/E/03/OE

Starting Salary Range:
$ $33.50 HRLY ($61,620 targeted; Commensurate with experience)

Employee group:
Full Time

Schedule:
Monday-Friday, 8:30 am - 5:00 pm

Exempt Status:
Non-Exempt

Location:
School of Medicine Campus

Department name:
SOM Oph Retina Service

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:
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.

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:
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 For TTY users, call via Maryland Relay or dial 711.

For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit

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 and all other JHU applicants should visit

The following additional provisions may apply, depending upon 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.

School of Medicine - East Baltimore Campus

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