Classified Title: Sr. Insurance Specialist Working Title: Role/Level/Range: ATO 40/E/02/OD Starting Salary Range: $15.11-$20.79 Employee group: Full-Time Schedule: Working 40 hours per week; Monday-Friday 8:30-5pm Exempt Status: Non-Exempt Location: 04-MD:School of Medicine Campus Department name: 10002902-SOM Neuro Amb and Ancillary Services Personnel area: School of Medicine
Provides expertise in front-end billing activities for Neurology and Neurosurgery.
Specific Duties & Responsibilities:
Works closely with clinic staff, managers and billing team to create a link between front-end registration and back-end billing functions. Prepares estimates for patient care services and discusses estimates with patients obtaining appropriate written agreements. Serves as insurance expert for the Departments. Provides ongoing training/education and support to medical office coordinators, clinic and billing staff and administrators in all locations (East Baltimore, BV, GSS, and NCR) regarding third party payer documentation and billing requirements. Responds to patient and staff inquiries regarding participation of insurances. Serves as liaison to the International Office to include assistance with estimates. Serves as liaison to Access Services regarding TOS policies and financial policies for the Departments. Works closely with clinic financial counselor at various locations and develops appropriate targeted collection goals for patient balances. Serves as liaison to the Office of Managed Care regarding registration policies, and with Patient Financial Services to monitor financial clearance protocols.
Minimum Qualifications (Mandatory):
High school diploma required. Two years related experience.
Associate's Degree in health-care related or business-related field required or equivalent experience preferred. Three to five years of experience with third party payer requirements. Epic billing experience preferred. Prior coding experience and CPC preferred.
Special knowledge, skills, and abilities:
Requires experience with CPT and ICD-9 codes.
Recent experience with Medicare regulations.
Extensive knowledge of Medicare's regulations regarding teaching physicians and documentation guidelines, and other federal and state laws and regulations concerning clinical documentation, coding and reimbursement.
Knowledge of related clinical and business practices, policies and procedures for billing and collection of professional fee services.
Exchanges non-routine information using tact and persuasion as appropriate requiring excellent verbal and written communication skills.
Demonstrated, excellent communication, analytical and organizational skills are essential.
Demonstrated, excellent customer service.
Demonstrated training experience.
Self-motivated and comfortable working independently and as a team member.
The successful candidate(s) for this position will be subject to a pre-employment background check.
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The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
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.
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The mission of the University Risk Management and Insurance Association is to advance the discipline of risk management
in higher education.