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Job DetailsAPPLYREFER A FRIENDBACKRevenue Cycle Coordinator - MCO & JHHC Billing & CollectionsRequisition #: 184187Location: Johns Hopkins Hospital/Johns Hopkins Health System,Baltimore, MDCategory: Clerical and Administrative SupportWork Shift: Day ShiftWork Week: Full Time (40 hours)Weekend Work Required: NoDate Posted: May 6, 2019Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become 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. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.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 Maryland Medicaid 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.Education:
High School Diploma or equivalent
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.
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.
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:
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.
Work Experience:
1-2 years’ experience in hospital accounts receivable.
Full Time (40 hours), Day Shift (8:00 AM - 4:30 PM )Non-Exempt, Pay Grade: NEWork Location: JH @ 3910 Keswick RdWork Condition: Works in normal office environment where there is little discomfort to due to the extremes of heat, dust, noise, temperature and the likeJohns Hopkins Hospital 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.
