For the Department of Otolaryngology, we are seeking a Pro-Fee Coordinator will be responsible for assisting in maintaining and monitoring the day-to-day billing and processing of billing and collections activities within the business unit. Responsible as a team lead in assisting in reviewing and analyzing the accuracy of staff work. Will assist in weekly and monthly report preparation, developing office policies and procedures, serve as a lead for troubleshooting and problem solving and will be expected to exercise independent judgment. Maintain strict confidentiality of patient and staff information. Promote teamwork and assist in identifying areas of improvement and recommend coordinated actions to bring about changes.

Specific Duties & Responsibilities:

Procedural Knowledge

• Responsible for maintaining and monitoring the day-to-day processing of assigned billing functions within the Unit.
• Responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and JHU/ PBS billing applications.
• 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.
• Monitor invoice activity until problem is resolved.
• Process daily mail, edits reports, file or pull EOB batches.
• Responsible for reviewing and analyzing the accuracy of staff work.
• Responsible for overseeing the business unit in the absence of the management.
• Assist in training new staff and existing staff members.
• Provide feedback regarding problems to management and assists in problem resolution.
• Generate weekly and monthly productivity reports as assigned.
• Communicate with appropriate individuals outside the assigned department or institution as designated by management.
• Assists management in assigning and tracking a portion of the daily work.
• Serves as back-up for report generation in Managers absence.
• Serve as a resource for staff questions and provides staff training as needed.
• Identifies and resolve key issues and takes appropriate action to respond to complex patient and medical insurance inquiries.

Technical Knowledge

• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Working knowledge of JHU/ PBS Billing Applications.
• Utilize online resources to facilitate efficient claims processing.
• Uses relevant functions of (IDX) and (EPIC) billing systems.
• Professional & Personal Development:
• Participate in on-going educational activities.
• Assist in the training of staff.
• Keep current of industry changes by reading assigned material on work related topics.
• Complete three days of training annually.
• Department Specific Responsibilities:
• Will also work with Otolaryngology billing team on an as needed basis.

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.
• Two years medical billing experience.
• Additional education may substitute for experience to the extent permitted by the JHU equivalency formula.

Classified Title: Pro Fee Coordinator
Working Title: CO Pro Fee Coordinator
Role/Level/Range: ATO 40/E/02/OD
Starting Hourly Pay Rate Range: $15.70-$21.65-$27.55 HRLY (Commensurate with experience)
Employee group: Full Time
Schedule: Mon-Fri/ 8:00-4:30
Exempt Status: Non-Exempt
Location: Hybrid/JH at Middle River
Department name: SOM Oto Production Unit Billing
Personnel area: School of Medicine

Total Rewards
The referenced salary range is based on Johns Hopkins University's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. 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/

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 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.

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.

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
Learn more:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.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 accessibility.jhu.edu.

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. 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. 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 on 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.

Note: Job Postings are updated daily and remain online until filled.

To apply, visit https://jobs.jhu.edu/job/Middle-River-CO-Pro-Fee-Coordinator-MD-21220/996831900/

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