Revenue Cycle Coordinator - Medicare at Johns Hopkins Medicine

Posted 1 month ago

Baltimore, MD
Johns Hopkins Health System employs more than 20,000 people annually. When joining the Johns Hopkins Health System, you became part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. Great careers continually advance here.

Position Summary:

Reporting to the Revenue Cycle Manager and/or Supervisor; the Revenue Cycle Coordinator will be responsible for supporting management in maintaining, improving, processing, and evaluating the billing and collection of accounts receivable for the Health System and/or resolve complex payer issues to completion daily. This may encompass working the receivable of multiple facilities and will comprise of the receivable of multiple third party payers, as well as, supporting management in the overall execution of Revenue Cycle collection duties.
Critical to this position is an intermediate understanding of a hospital revenue cycle including registration, charge capture, billing, collection, utilization management, and account balance resolution. The Revenue Cycle Coordinator must demonstrate knowledge in billing and collection of at least one payer type’s billing practices, with an understanding of additional insurance payer type’s billing and collection practices including benefits eligibility, verification, and precertification.

Knowledge:

  • Knowledge of accounting, healthcare, and general office procedures, preferred.
  • Working knowledge of at least one specific payer’s application, billing, and/or collection processes and/or multiple payer’s insurance verification and pre-certification processes.
  • Intermediate knowledge of accounting principles which directly impacts the accounts receivable that may include debit and credit transactions; charge transfers; contractual allowances and adjustments and financial class changes.
  • Knowledge of the Maryland and DC Reimbursement and regulatory environment so as to ensure compliance with State regulations regarding patient and insurance billing issues, preferred.
  • Requires knowledge of common revenue cycle accounts receivable terms, common business practices, and statute of limitations as it pertains to billing, appeals, payer requests, payments, retractions, and EOB’s.
  • Requires knowledge of billing, collection, and telecommunications software, including LAN-based claims editing applications.
  • Understands HCPC and/or CPT coding issues that could impact a claim.
  • Knowledge of the HSCRC, DRG and APC payment reimbursement.
  • Requires knowledge of up to date HIPAA and HITECH rules and regulations.

Skills:

  • Intermediate knowledge of Microsoft Office.
  • Requires intermediate organizational skills to complete financial applications, insurance verification, billing, and collection processes within acceptable time frames.
  • Requires communication skills to clearly and concisely communicate verbally and in writing with peers, management, payers, physicians, ancillary departments, etc.
  • Requires the ability to work independently while completing billing and continual follow up on routine and challenging accounts with minimal assistance from management and others.
  • Ability to problem solve and analyze high dollars claims/cycles and elevate quickly for resolution.
  • Ability to work in multiple billing, insurance verification, and precertification systems simultaneously.

Required Licensure Certification, etc.

  • NA

Work Experience:

  • 1-2 years’ experience in hospital accounts receivable.

Day Shift, Full Time (40 hours) (8am -4:30pm)
Non-Exempt, Pay Grade: NE
Work Location: JH @ 3910 Keswick Road
Working Conditions: Works in normal office environment where there is little discomfort to due to the extremes of heat, dust, noise, temperature and the like
Johns Hopkins is a Smoke-Free campus.
Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.

Remember to mention that you found this position via Trinity CareerGate