Collections Specialist

  • location: Nottingham, MD
  • type: Temporary
  • salary: $12.50 - $17 per hour
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job description

Collections Specialist

On behalf of Johns Hopkins University, we are seeking a a full time Collections Specialist. The Collections Specialist will be responsible for the collection of unpaid third-party claims and appeals, using various applications of JHM and JHU/ PBS billing applications.
Responsibilities:
- 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.
- Confirm credit balances and gathers necessary documentation for processing refund.
- Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility and any other issue causing non-payment of claims.
- Contacts the payors or patient as appropriate for corrective action to resolve the issue and receive payment of claims.
- Monitor invoice activity until problem is resolved.
- Process daily mail, edits reports, file or pull EOB batches.
- Identifies and informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of claims.
Working hours: 8:00 AM - 5:00 PM
Skills:
- One year experience in a medical billing or similar specialty environment required.
- Knowledge of medical terminology, CPT codes and diagnosis coding required.
- Excellent interpersonal, communication and customer service skills required.
- Ability to use various billing and patient information computer systems preferred.
- Knowledge of various payer processing and submission guidelines preferred.
Qualifications:
- Must possess high school diploma or GED
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
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