The Johns Hopkins University
Collection Specialist - 118756
The Johns Hopkins University, Middle River, Maryland, United States, 21220
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Collection Specialist - 118756
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Collection Specialist - 118756
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Requisition ID: 118756
Collection Specialist
The department of Otolaryngology is seeking a
Collection Specialist
who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing applications. Communicates with payers to resolve issues and facilitate prompt payment of claims. Follow-up with insurance companies to collect outstanding accounts for which payment has not been received in response to the claim's submission process, either electronically or by paper. Recognize and resolve incorrect demographic and insurance registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors in order to expedite payments and possess a knowledge of appeals and rejections processes to resolve standard issues or escalate to a more senior specialist.
Specific Duties & Responsibilities
Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal. Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract. Review and update patient registration information (demographic and insurance) as needed. Applies appropriate discounts / courtesies based on department policy. Prepares delinquent accounts for transfer to self-pay collection unit according to the follow-up matrix. Prints and mails claim forms and statements according to the follow-up matrix. Retrieves supporting documents (medical reports, authorizations, etc.) as needed and submits to third-party payers. Appeals reflected claims and claims with low reimbursement. Performs claim edits as needed. Confirm credit balances and gathers necessary documentation for processing refund. Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility and any other issue causing non-payment of claims. Contacts the payors or patient as appropriate for corrective action to resolve the issue and receive payment of claims. Monitor invoice activity until problem is resolved. Process daily mail, edits reports, file or pull EOB batches. Identifies and escalates non-standard appeals to a higher-level specialist. Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims.
Technical Knowledge
Familiarity with compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). Working knowledge of medical billing applications. Utilize online resources to facilitate efficient claims processing.
Professional & Personal Development
Participate in on-going educational activities. Keep current of industry changes by reading assigned material on work related topics. Complete three days of training annually.
Service Excellence
Must adhere to Service Excellence Standards. Customer Relations. Self-Management. Teamwork. Communications. Ownership/Accountability. Continuous Performance Improvement.
Minimum Qualifications
High School Diploma or graduation equivalent. One year experience in a medical billing or similar specialty environment required. Knowledge of medical terminology, CPT/ICD codes and diagnosis coding required. Knowledge of medical terminology, CPT codes and diagnosis coding required. Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.
Preferred Qualifications
Ability to use various billing and patient information computer systems preferred. Knowledge of various payer processing and submission guidelines preferred.
Classified Title: Collection Specialist
Job Posting Title (Working Title): Collection Specialist
Role/Level/Range: ATO 37.5/02/OC
Starting Salary Range: $15.70 - $26.26 HRLY ($20.50/hour targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: Monday - Friday, 8:00am - 4:30pm
FLSA Status: Non-Exempt
Location: Hybrid: On-site 3-4 days a week
Department name: 10003029-SOM Oto Production Unit Billing
Personnel area: School of Medicine
This salary range does not include all components of the Production Unit/Otolaryngology/SOM compensation program. This position may be eligible for a discretionary bonus. Therefore, the actual compensation paid to the selected candidate may vary slightly from the salary range stated herein. For more information, please contact the hiring department.
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, 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: https://hr.jhu.edu/benefits-worklife/.
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 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
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
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 jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit https://accessibility.jhu.edu/.
Vaccine Requirements
Johns Hopkins University strongly encourages, but no longer requires, at least one dose of the COVID-19 vaccine. The COVID-19 vaccine does not apply to positions located in the State of Florida. We still require all faculty, staff, and students to receive the seasonal flu vaccine. 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.
This change does not apply to the School of Medicine (SOM). SOM hires must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of vaccination status.
For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.
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.
Hybrid: On-site 3-4 days a week Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
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Collection Specialist - 118756
role at
The Johns Hopkins University 5 days ago Be among the first 25 applicants Join to apply for the
Collection Specialist - 118756
role at
The Johns Hopkins University Get AI-powered advice on this job and more exclusive features.
Requisition ID: 118756
Collection Specialist
The department of Otolaryngology is seeking a
Collection Specialist
who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing applications. Communicates with payers to resolve issues and facilitate prompt payment of claims. Follow-up with insurance companies to collect outstanding accounts for which payment has not been received in response to the claim's submission process, either electronically or by paper. Recognize and resolve incorrect demographic and insurance registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors in order to expedite payments and possess a knowledge of appeals and rejections processes to resolve standard issues or escalate to a more senior specialist.
Specific Duties & Responsibilities
Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal. Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract. Review and update patient registration information (demographic and insurance) as needed. Applies appropriate discounts / courtesies based on department policy. Prepares delinquent accounts for transfer to self-pay collection unit according to the follow-up matrix. Prints and mails claim forms and statements according to the follow-up matrix. Retrieves supporting documents (medical reports, authorizations, etc.) as needed and submits to third-party payers. Appeals reflected claims and claims with low reimbursement. Performs claim edits as needed. Confirm credit balances and gathers necessary documentation for processing refund. Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility and any other issue causing non-payment of claims. Contacts the payors or patient as appropriate for corrective action to resolve the issue and receive payment of claims. Monitor invoice activity until problem is resolved. Process daily mail, edits reports, file or pull EOB batches. Identifies and escalates non-standard appeals to a higher-level specialist. Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims.
Technical Knowledge
Familiarity with compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). Working knowledge of medical billing applications. Utilize online resources to facilitate efficient claims processing.
Professional & Personal Development
Participate in on-going educational activities. Keep current of industry changes by reading assigned material on work related topics. Complete three days of training annually.
Service Excellence
Must adhere to Service Excellence Standards. Customer Relations. Self-Management. Teamwork. Communications. Ownership/Accountability. Continuous Performance Improvement.
Minimum Qualifications
High School Diploma or graduation equivalent. One year experience in a medical billing or similar specialty environment required. Knowledge of medical terminology, CPT/ICD codes and diagnosis coding required. Knowledge of medical terminology, CPT codes and diagnosis coding required. Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula.
Preferred Qualifications
Ability to use various billing and patient information computer systems preferred. Knowledge of various payer processing and submission guidelines preferred.
Classified Title: Collection Specialist
Job Posting Title (Working Title): Collection Specialist
Role/Level/Range: ATO 37.5/02/OC
Starting Salary Range: $15.70 - $26.26 HRLY ($20.50/hour targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: Monday - Friday, 8:00am - 4:30pm
FLSA Status: Non-Exempt
Location: Hybrid: On-site 3-4 days a week
Department name: 10003029-SOM Oto Production Unit Billing
Personnel area: School of Medicine
This salary range does not include all components of the Production Unit/Otolaryngology/SOM compensation program. This position may be eligible for a discretionary bonus. Therefore, the actual compensation paid to the selected candidate may vary slightly from the salary range stated herein. For more information, please contact the hiring department.
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, 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: https://hr.jhu.edu/benefits-worklife/.
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 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
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
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 jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit https://accessibility.jhu.edu/.
Vaccine Requirements
Johns Hopkins University strongly encourages, but no longer requires, at least one dose of the COVID-19 vaccine. The COVID-19 vaccine does not apply to positions located in the State of Florida. We still require all faculty, staff, and students to receive the seasonal flu vaccine. 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.
This change does not apply to the School of Medicine (SOM). SOM hires must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of vaccination status.
For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.
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.
Hybrid: On-site 3-4 days a week Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Higher Education Referrals increase your chances of interviewing at The Johns Hopkins University by 2x Get notified about new Collections Specialist jobs in
Middle River, MD . Reisterstown, MD $25.00-$30.00 3 weeks ago Ellicott City, MD $25.00-$32.00 3 weeks ago Columbia, MD $60,000.00-$70,000.00 4 days ago Linthicum Heights, MD $20.98-$30.12 1 week ago Linthicum Heights, MD $20.98-$30.12 3 weeks ago Accounts Receivable Specialist-Hybrid Remote
Annapolis, MD $45,000.00-$55,000.00 2 months ago Sparks, MD $45,000.00-$65,000.00 6 days ago Baltimore, MD $75,000.00-$88,000.00 3 weeks ago AR Revenue Cycle Specialist III - 118228
Middle River, MD $18.20-$33.90 1 month ago Experienced Aged Accounts Collection Specialist
Experienced Aged Accounts Collection Specialist
Fort Meade, MD $78,700.00-$165,200.00 3 weeks ago Windsor Mill, MD $15.00-$20.00 2 months ago Property Administrator - Sr. Accounts Receivable
Job Title: AP/AR & Administrative Coordinator
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr