Revenue Cycle Coordinator

1 week ago

Middle River, Maryland, United States Johns Hopkins University Full time

Job Req ID:

Pro Fee Coordinator

We are looking for a dedicated individual to support the Production Unit Manager(s) in overseeing and managing the daily operations of revenue cycle activities within the production unit. This role involves leading a team in assessing and ensuring the accuracy of staff performance. Responsibilities include assisting in the preparation of weekly and monthly reports, developing office policies and procedures, and serving as a key resource for troubleshooting and problem resolution. The candidate must uphold strict confidentiality regarding patient and staff information, foster teamwork, and identify areas for improvement while recommending coordinated actions for change. Adherence to confidentiality and compliance with departmental policies is essential.

Key Responsibilities:

Operational Knowledge

  • Oversee and manage the daily processing of assigned work queues as directed by the Production Unit Manager.
  • Assist the Production Unit Manager in recognizing trends within the revenue cycle.
  • Support the training of new and existing staff members under the guidance of the Production Unit Manager.
  • Provide management with feedback regarding issues and assist in their resolution.
  • Occasionally generate and report weekly and monthly productivity metrics to the Production Unit Manager as assigned.
  • Communicate, under the direction of the Production Unit Manager, with relevant individuals outside the assigned department as designated by management.
  • Act as a backup for the Production Unit Manager in their absence, reporting on work queue status.
  • Represent the department on CPA-led Office of Managed Care calls and summarize findings for management.
  • Identify and address key issues, taking appropriate actions to resolve complex patient and medical insurance inquiries.

Technical Proficiency

  • Thorough understanding and compliance with HIPAA regulations regarding the handling of patient Protected Health Information (PHI).
  • Solid knowledge of the Revenue Cycle.
  • Utilize online resources to enhance the efficiency of claims processing.
  • Employ relevant functions of EPIC effectively.

Professional Development

  • Engage in ongoing educational activities to enhance skills.
  • Stay informed of industry changes by reviewing assigned materials related to work topics.
  • Complete training as opportunities arise.

Department-Specific Duties

  • Manage multiple work queues under the direction of the Production Unit Manager, including Registration, Charge Corrections, Patient Inquiry, AR, and Escalation.
  • Work daily in specialized areas while also addressing accounts receivable tasks.
  • Collaborate with the Production Unit Manager to maintain an up-to-date Revenue Cycle Resource folder for staff access.
  • Conduct internal audits twice a year for Collection Specialist staff under the guidance of the Production Unit Manager.
  • Perform incentive audits as assigned.
  • Stay current on coding, payer, and compliance policies.

Minimum Qualifications:

  • High School Diploma or GED required.
  • Two years of experience in a specialized area or previous revenue cycle experience in a similar setting is required.
  • Additional education beyond the minimum experience qualifications may substitute for required experience as permitted by the JHU equivalency formula.

Preferred Qualifications:

  • Associate Degree or higher-level degree preferred.
  • Five years of experience in a specialized area or previous revenue cycle experience in a similar setting preferred.
  • Strong organizational and analytical abilities.
  • Experience with coding, including modifier application and familiarity with CPT/diagnosis code application.
  • Excellent organizational skills and attention to detail.
  • Aptitude for figures and ability to meet deadlines while working under pressure.
  • Knowledge of Epic and electronic health records preferred.
  • Exceptional interpersonal, communication, and customer service skills required.
  • Familiarity with JHM and JHU revenue cycle operations preferred.
  • Intermediate or expert-level knowledge of Word, Excel, PowerPoint, and Adobe products.

Total Rewards:
The referenced base salary range represents the low and high end of Johns Hopkins University's salary range for this position. Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, including the successful candidate's geographic location, skills, work experience, market conditions, education/training, and other qualifications. Johns Hopkins offers a total rewards package that supports our employees' health, life, career, and retirement.

Education and Experience Equivalency:
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 coursework may be applied towards the total minimum education/experience required for the respective job.

Applicants Completing Studies:
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.

Background Checks:
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.

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

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:

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