Revenue Cycle Specialist

6 days ago


Middle River, United States Johns Hopkins University Full time
Job Summary

We are seeking a highly skilled Revenue Cycle Specialist to join our team at Johns Hopkins University. As a key member of our Production Unit Billing department, you will be responsible for the collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/PBS billing applications.

Key Responsibilities
  • Claims Processing: Use A/R follow-up systems and reports to identify unpaid claims for collection/appeal, and gather and verify all information required to produce a clean claim.
  • Insurance Follow-up: Communicate with payers to resolve issues and facilitate prompt payment of claims, and review and update patient registration information as needed.
  • Appeals and Rejections: Appeal rejected claims and claims with low reimbursement, and identify and escalate non-standard appeals to a higher-level specialist.
  • Customer Relations: Provide excellent customer service to patients and payers, and adhere to Service Excellence Standards.
  • Continuous Improvement: Participate in on-going educational activities, and keep current of industry changes by reading assigned material on work-related topics.
Requirements
  • Education: High School Diploma or graduation equivalent.
  • Experience: One year experience in a medical billing, insurance follow-up processing, or similar medical specialty environment.
Working Conditions

This is a full-time position, Monday through Friday, 8:00 am-5:00 pm. The salary range is $25.00 HRLY ($43,680 budgeted; commensurate with experience).



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