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A/R Revenue Cycle Specialist II
Johns Hopkins University
The Pathology Department is seeking an AR Revenue Cycle Specialist II to be responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using various JHM applications and JHU/ PBS billing applications. Will conduct on-line research to locate information to resolve issues across different sub-specialties and/or relating to high-cost procedures. Communicates with payers to resolve issues and facilitate prompt payment of claims. Follow-up with insurance companies to collect outstanding accounts for which payment has not been received in response to the claim's submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of claims submission requirements for all payors in order to expedite payments. The Specialist will research and interpret medical policies regarding denials based on medical necessity. Will use a working knowledge of local coverage determinations (LCD?s) to research and apply appropriately. Will mentor and advise junior specialists as appropriate. Principal Duties and Responsibilities
Knowledge, Skills & Abilities
Physical requirements for the job
Minimum Qualifications
Classified Title: AR Revenue Cycle Specialist II
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