The Johns Hopkins University
AR Revenue Cycle Specialist (Pathology)
The Johns Hopkins University, Middle River, Maryland, United States, 21220
AR Revenue Cycle Specialist – Pathology Department
Johns Hopkins University – Remote – Full Time
Responsibilities
Use A/R follow‑up systems and reports to identify unpaid claims for collection/appeal.
Gather and verify all information required to produce a clean claim, including special billing procedures defined by payer or contract.
Review and update patient registration information (demographics and insurance) as needed.
Resolve claim edits and apply appropriate discounts or courtesies based on department policy.
Prepare delinquent accounts for transfer to self‑pay collection unit per the follow‑up matrix.
Print and mail claim forms and statements according to the follow‑up matrix.
Retrieve supporting documents (medical reports, authorizations, etc.) and submit to third‑party payers.
Appeal rejected claims and claims with low reimbursement.
Confirm credit balances and gather documentation for processing refunds.
Identify insurance issues (primary vs. secondary, coordination of benefits) that cause non‑payment.
Contact payors or patients as appropriate for corrective action to resolve issues and receive payment.
Monitor invoice activity until the problem is resolved.
Process daily mail, edit reports, file or pull EOB batches.
Identify and escalates non‑standard appeals to a higher‑level specialist.
Inform the supervisor/Production Unit Manager of issues regarding non‑payment of claims.
Minimum Qualifications
High School Diploma or graduation equivalent.
One year of experience in medical billing, insurance follow‑up processing, or a similar medical specialty environment.
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.
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.
Accommodation Information If you 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, visit
https://accessibility.jhu.edu/ .
Vaccine Requirements Johns Hopkins University requires all faculty, staff, and students to receive the seasonal flu vaccine. Exceptions may be provided for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry.
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Responsibilities
Use A/R follow‑up systems and reports to identify unpaid claims for collection/appeal.
Gather and verify all information required to produce a clean claim, including special billing procedures defined by payer or contract.
Review and update patient registration information (demographics and insurance) as needed.
Resolve claim edits and apply appropriate discounts or courtesies based on department policy.
Prepare delinquent accounts for transfer to self‑pay collection unit per the follow‑up matrix.
Print and mail claim forms and statements according to the follow‑up matrix.
Retrieve supporting documents (medical reports, authorizations, etc.) and submit to third‑party payers.
Appeal rejected claims and claims with low reimbursement.
Confirm credit balances and gather documentation for processing refunds.
Identify insurance issues (primary vs. secondary, coordination of benefits) that cause non‑payment.
Contact payors or patients as appropriate for corrective action to resolve issues and receive payment.
Monitor invoice activity until the problem is resolved.
Process daily mail, edit reports, file or pull EOB batches.
Identify and escalates non‑standard appeals to a higher‑level specialist.
Inform the supervisor/Production Unit Manager of issues regarding non‑payment of claims.
Minimum Qualifications
High School Diploma or graduation equivalent.
One year of experience in medical billing, insurance follow‑up processing, or a similar medical specialty environment.
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.
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.
Accommodation Information If you 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, visit
https://accessibility.jhu.edu/ .
Vaccine Requirements Johns Hopkins University requires all faculty, staff, and students to receive the seasonal flu vaccine. Exceptions may be provided for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry.
#J-18808-Ljbffr