Responsible for registration of patient data and processing of bills for the Pathology Department of The Johns Hopkins University. Responsible for verification of registration information in the JHM and JHU electronic applications (i.e. EPIC). Verify and register patient demographics into the electronic patient record system. Handle adjustments and account inquiries. Identify charge entry issues and assist in the resolution of claim edits.
Specific Duties & Responsibilities
Review charges for questionable or incomplete information and following departmental compliance procedures take appropriate action.
Register patients into the electronic patient record system.
Monitor patient record system billing reports and investigates and solves registration problems.
Maintain proper records and files of activities.
Review and correct system work queues: Registration, Coding and Encounter.
Understanding of ICD and CPT and apply to work related function.
Ability to analyze information and make recommendations to management. Technical Knowledge:
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Working knowledge of Johns Hopkins Applications.
Utilize online resources to facilitate efficient claims processing.
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:
Performs assigned duties as listed in this job description for the Department of Pathology which may include but is not limited Johns Hopkins Medical Laboratories, Green Spring Station & other outreach Laboratories, Johns Hopkins Reference Laboratories, Professional Fee Billing, and other areas as assigned (ex: IVF Lab at GreenSpring, Genetics DNA Lab, Dermapathology)
Must adhere to Service Excellence Standards.
Continuous Performance Improvement
Equipment, Machine, or Tool Requirements:
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
HS/GED and one year experience in a medical billing or related environment. Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula.
* JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. 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. *
Knowledge of various payer processing and submission guidelines preferred.
Ability to use various billing and patient information computer systems preferred.
Special Knowledge, Skills, and Abilities
Excellent interpersonal, communication and customer service skills.
Work Environment while performing the duties of this job:
While performing the duties of this job, the employee may remain in a stationary position (mostly seated) up to 80% of the time. Occasionally required to traverse throughout the work area or to retrieve supplies or mail/documents from other locations. The employee is required to operate computer keyboard, mouse, calculator, and phone 80% of the day; additional duties may require opening envelopes, removing or applying staples, processing mail; requiring finger dexterity and some repetitive motions.
Prolonged vision requirements including ability to see/viewing computer screen, paper reports/documents, charts.
Position requires frequent use of the telephone, while multi-tasking to retrieve or review information from the computer in order to assist callers quickly and confidentially. Must be able to communicate using the spoken and written word in a clear, concise, and professional manner. Able to hear within normal range.
May transport materials usually less than 20 pounds from one area to another; may be required to lift and/or move up to 40 pounds with proper training, or precautions/lifting aides (example: file boxes, copier paper, mail bags). In some areas work space is confined; may work in an open work station or cubicle.
Staff may be required to complete annual competency review, and must insure compliance with Hospital Policy, Laboratory Policy & Procedure, Health, Safety & Environment regulations, and all applicable privacy & confidentiality laws/practices.
Johns Hopkins School of Medicine – Clinical Operations - Required Attendance position: in the event of unexpected university closings including inclement weather or declared emergency, the employee in this position may be required to report to work and/or remain at work and may be required to work additional hours.
Classified Title: Billing Coordinator Working Title: Billing Coordinator - Registration Role/Level/Range: ATO 40/E/02/OC Starting Salary Range: $13.36 - $18.41; commensurate with experience Employee group: Full Time Schedule: Monday-Friday, 8:30a-5:00p; Up to 40 hrs/ week Exempt Status: Non-Exempt Location: 16-MD:JH at White Marsh Department name: 10003410-SOM Pat Production Unit Billing Personnel area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
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 HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
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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Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130 years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Bal...timore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.