Revenue Cycle Coordinator

Requisition #: 559787
Location: Johns Hopkins Health System, Baltimore, MD 21201
Category: Clerical and Administrative Support
Work Shift: Day Shift
Work Week: Full Time
Weekend Work Required: No
Date Posted: Sept. 15, 2022

Join an amazing global healthcare organization!

Excellent compensation package!

Awesome benefits, including dependent tuition reimbursement!

Requisition #: 464603

Location:

3910 Keswick Rd, Baltimore, MD 21211

Shift:

Full Time (40 hours)

Day Shift; 8:00am - 4:30pm

Weekends Required: No

Non-Exempt

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. Incumbent must have proven skills in all facets of Federal, State and Local regulations to be compliant with the day to day processes and changes required by payers. The Revenue Cycle Coordinator must also demonstrate organizational, communication, time management, analytical thinking, problem solving and mentoring skills.

The Revenue Cycle Coordinator works as a team member and positively accepts change throughout the Health System while establishing relationships at all facilities and be familiar with each institution's computer environment and payer contracts as needed and maintains a professional, courteous, and cooperative demeanor in all communications and interactions with all individuals and organizations with whom they come into contact while acting in the capacity of a Health System employee.

Education:

High School Diploma or equivalent.

Required Work Experience:

1-2 years' experience in hospital accounts receivable or patient accounts.

Knowledge, Skills and Abilities:

• 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.
• Requires ability to understand, interpret, evaluate, and resolve basic customer service issues.
• 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.
• Knowledge of medical terminology, preferred.
• Knowledge of the Johns Hopkins Health System or other Healthcare related policies and procedures, preferred.
• Moderate understanding knowledge of the Revenue Cycle specific to JHM.
• 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.
• Demonstrates ability to assist in mentoring others in regards to the department's payers and revenue cycle processes.
• Requires knowledge of Federal regulations and requirements.
• Ability to identify and know the different requirements for the various types of insurance plans.
• Ability to work the receivable of multiple facilities with experience, knowledge, and skills that are transferable to other tasks and assignments.
• Understands common terms used daily in carrying out tasks
• 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.
• Ability to evaluate own workflows and JHHS processes and appropriately recommends process improvements.
• Requires continual communication keeping others informed of work flow status updates, trends and/or issues while managing tasks in a timely manner.
• Requires analytical skills to compile and prepare reports monthly or as needed utilizing department software applications.
• 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.
• Requires minimal assistance for complex account resolution.
• Requires the ability to adapt to urgent deadlines or rapidly changing priorities and maintain composure in high stress situations at all times.
• Assists in other staff's duties in their absences, in addition to routine workload.
• Ability to adapt to urgent deadlines and/or rapidly changing priorities while maintaining professionalism in high stress situations.
• Must have the knowledge and interpersonal skills to be a successful mentor and provide continual constructive feedback to team.
• Ability to show professionalism when communicating with staff and vendors.
• Ability to effectively work with others in conjunction with the Code of Conduct and Service Excellence Guidelines.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.