The Johns Hopkins University · 5 hours ago

Collection Specialist - 116478

Middle River, MD

Full-time

Remote

Entry Level

$15.70/hr - $25.25/hr

1+ years exp

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EducationHigher Education

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Responsibilities

Uses system collection reports, such as: aged trial balances, data search reports, and the Paperless Collection System (PCS) to identify unpaid claims for collection/appeals.

Communicates with third-party payers, patients, physicians, and other parties to resolve unpaid claims.

Reviews and updates patient registration information (demographic and insurance) on IDX as needed.

Utilizes PCS to process A/R. Works PCS files to completion.

Applies appropriate discounts/courtesies based on department policy.

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.

Identifies and informs the Supervisor/Production Unit Manager of issues or problems associated with non-payment of claims.

Appeals rejected claims and claims with low reimbursement.

Identifies and informs management of systems or operational issues affecting collections, reimbursement and/or day in accounts receivable.

Processes third-party payer correspondence for resolution and/or payment of claims.

Research and resolve Production Unit posting errors during the month.

Performs miscellaneous related duties and special projects as assigned.

Qualification

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Medical billingMedical terminologyCPT codesICD codesIDXPCSPayer processing guidelinesPatient information systemsSoft skills