Medical Collection Specialist II

Summary

Johns Hopkins Home Care Group is seeking an experienced and motivated Infusion Collection Specialist II to join our reimbursement team. Reporting to the Department Manager this role requires advanced proficiency in collections across multiple payers with a focus on infusion and IV therapies.

In this position you will independently secure timely reimbursements by contacting third-party payers and insured individuals while managing insurance verification prior authorizations coding and troubleshooting complex payer issues daily. Youll also serve as a subject matter experttraining others resolving credit balance accounts and supporting audits and system improvements.

Success in this role requires keen attention to detail in-depth knowledge of payer guidelines (Medicare Medicaid commercial) and strong communication skills. Prior experience with hospital or specialty pharmacy billing systems is a plus.

Education Knowledge & Skills:

• High School Diploma or equivalent required; Associates or Bachelors degree preferred
• Minimum 2 years of experience in insurance denial management appeals processes and EOB analysis
• Strong knowledge of payer-specific denial reasons and resolution tactics
• Solid understanding of medical terminology coding and billing software
• Ability to analyze and resolve issues independently while mentoring peers
• Excellent verbal and writtencommunication and problem-solving skills
  
  

Why Join Johns Hopkins Home Care Group

As part of the renowned Johns Hopkins Health System youll contribute to delivering compassionate high-quality home health care. We offer:

• A collaborative mission-driven team environment
• Comprehensive benefits including medical dental vision PTO retirement contributions tuition assistance and more
• Ongoing professional development and internal growth opportunities
  
  

Ready to Apply

If youre a detail-oriented billing professional who thrives in a fast-paced healthcare environment and youre passionate about improving patient care we encourage you to apply today.

Salary Range: Minimum$18.00/hour - Maximum$26.23/ will be commensurate with equity and experience for roles of similar scope and responsibility.

In cases where the range is displayed as a $0 amount salary discussions will occur during candidate screening calls before any subsequent compensation discussion is held between the candidate and any hiring authority.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment where we embrace and celebrate our differences where all employees feel valued contribute to our mission of serving the community and engage in equitable healthcare delivery and workforce practices.

Johns HopkinsHealth Systemand its affiliatesare an Equal Opportunity / Affirmative Action employer. 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.