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Pro Fee Coordinator

4 weeks ago

Middle River, United States Johns Hopkins University Full time

Job Req ID:

113912

Pro Fee Coordinator

We are seeking a who will be responsible for assisting the Production Unit Manager(s) in maintaining and monitoring the day-to-day processing of revenue cycle functions within the production unit. Responsible as a team lead in assisting in reviewing and analyzing the accuracy of staff work. Will assist in weekly and monthly report preparation, developing office policies and procedures, serve as a lead for troubleshooting and problem solving and will be expected to exercise independent judgment. Maintain strict confidentiality of patient and staff information. Promote teamwork and assist in identifying areas of improvement and recommend coordinated actions to bring about changes. Able to maintain confidentiality and compliance with department policies.

Specific Duties & Responsibilities

Procedural Knowledge

Responsible for maintaining and monitoring the day-to-day processing of assigned work queues as identified by the Production Unit Manager. Assists the Production Unit Manager in identifying trends in revenue cycle. Assists the Production Unit Manager in training new staff and existing staff members. Provide feedback regarding problems to management and assists in problem resolution. At times generates and reports to Production Unit Manager weekly and monthly productivity reports as assigned. Communicate, under the direction of the Production Unit Manager, with appropriate individuals outside the assigned department or institution as designated by management. Serves as back-up for Production Unit Manager absence to report work queue status. Serve as a department representative on CPA-led Office of Managed Care call and provide a summary to management. Identifies and resolve key issues and takes appropriate action to respond to complex patient and medical insurance inquiries.

Technical Knowledge

Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). Working knowledge of Revenue Cycle. Utilize online resources to facilitate efficient claims processing. Uses relevant functions of EPIC.

Professional & Personal Development

Participate in on-going educational activities. Keep current of industry changes by reading assigned material on work related topics. Complete training as opportunities present.

Department Specific Responsibilities

Will be responsible for maintain multiple work queues under direction of Production Unit Manager such as Registration, Charge Corrections, Patient Inquiry, AR and Escalation. Will be expected to not only work on a daily basis in specialized areas, but also work accounts receivable. Under collaboration with the Production Unit Manager will maintain Revenue Cycle Resource folder to ensure resources are up-to-date and current for staff to access. Will under direction of Production Unit Manager perform internal audits twice per year for Collection Specialist staff. Will perform incentive audits as assigned. Will be expected to stay current on coding, payor and compliance policies.

Minimum Qualifications
HS/GED required. Two years experience in a specialty area or previous revenue cycle experience in a similar environment is required.
Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula.

Preferred Qualifications
Associate Degree or higher-level degree preferred.
Five years experience in a specialty area or previous revenue cycle experience in a similar environment, preferred.
Strong organizational and analytical skills. Coding experience: modifier application, familiarity with CPT/diagnosis code application Excellent organizational skills. Aptitude for figures and attention to detail. Capable of meeting deadlines and working well under pressure. Knowledge of Epic, electronic health record, preferred. Excellent interpersonal, communication and customer service skills required. Knowledge of JHM and JHU revenue cycle operation preferred. Knowledge at intermediate or expert level - of Word, Excel, PowerPoint, Adobe products.

Total Rewards
The referenced base salary range represents the low and high end of Johns Hopkins Universitys 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, which may include 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. More information can be found here: .

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 course work 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, the .

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