Revenue Cycle Specialist

5 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.

Key Responsibilities
  • Claims Collection and Appeal: Utilize various JHM applications and JHU/PBS billing applications to identify and collect unpaid claims, and appeal rejected claims and claims with low reimbursement.
  • Insurance Follow-up: Communicate with payers to resolve issues and facilitate prompt payment of claims, and follow up with insurance companies to collect outstanding accounts.
  • Registration and Demographic Verification: Review and update patient registration information, and verify demographic and insurance information to ensure accurate claims submission.
  • Claims Submission and Editing: Gather and verify all information required to produce a clean claim, and apply appropriate discounts and courtesies based on department policy.
  • Delinquent Account Management: Prepare delinquent accounts for transfer to self-pay collection unit, and print and mail claim forms and statements as needed.
  • Supporting Document Retrieval: Retrieve supporting documents, such as medical reports and authorizations, and submit to third-party payers.
  • Continuous Improvement: Participate in on-going educational activities, and stay current with 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 to 5:00 pm. The salary range is $25.00 hourly, with a starting salary of $43,680 budgeted, commensurate with experience.



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