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Job Details

Core Service Specialist IV

Requisition #: 171568
Location: Johns Hopkins Hospital/Johns Hopkins Health System, Baltimore, MD 21201
Category: Clerical and Administrative Support
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: May 30, 2019

Johns Hopkins employs more than 20,000 people annually across our health system. Upon joining Johns Hopkins, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join an employer that is a leader and innovator in the healthcare field.

POSITION SUMMARY:

Serve as a team leader and mentor for junior staff members. Identifies, analyzes and develops solutions to improve team related issues. Coordinate complex financial workup for consultations, ancillary and other related services per clinical scheduling protocols Oversees the preregistration process to completion which will include insurance verification, referral/authorization, precertification (when applicable), financial work-up, financial collection, informing patient of all financial liabilities and inputting documentation into appropriate computer systems for inpatient and outpatient services. Serves as a resource for patients and physicians to contact regarding financial inquiries within JHMI. Serves as patient advocate to ensure patients have access to the appropriate clinical services. Provide patients with educational material and physician information. Also provide directions to other affiliates and clinical locations when necessary. May be asked to perform scheduling functions when required. . Maintains financial records according to departmental protocol.

Full-time, Day Shift

8:30 a.m. - 5:00 p.m.

Work Location: Johns Hopkins Outpatient Center, Baltimore, MD

Pay Grade: NF

COMPETENCIES:

Education:

Associate's degree required (4 years of equivalent work related experience may be substituted). Bachelor's degree preferred.

Required Licensure, Certification, etc.

EPIC certification required within 90 days. Medical terminology certification required or must pass JHH medical terminology assessment with grade of 70% or complete 10-12 week medical terminology course with grade of 70% within first year of employment to maintain position.

Work Experience:

Three (3) years related medical office, hospital, medical call center or similar customer service environment. Extensive medical insurance processing; medical billing experience preferred.

Knowledge:

Comprehensive medical and insurance terminology; comprehensive knowledge of hospital

and physician referral protocols; comprehensive knowledge of medical insurance plans,

billing and regulations, especially managed care plans; PC word processing; PC

spreadsheet applications; familiar with regulatory agencies (HSCRC, HCFA, etc.) and

their impact on health service financing.

Skills:

Keyboard – Must be able to type at least 40 words per minute. Requires excellent verbal communication, telephone manner, interviewing and interpersonal skills to interact with patients, families, members of the health care team and external agencies. Requires analytical skills

to resolve problems associated with appointment scheduling and scheduling protocols and

to provide patients and referring physicians with information and assistance in scheduling. Requires analytical ability to perform calculations for financial work up and deductibles.

Typing 30 wpm; data entry 4000-6000 keystrokes with ≤12% error rate; following directions with 80% success rate.

"Johns Hopkins Hospital is a Smoke Free Campus"

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

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