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Job Details

Core Service Specialist IV

Requisition #: 179963
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: Feb. 1, 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:

The Core Service Specialist will ensure that the preregistration process is performed to completion. This process ensures that insurance verification, obtaining referral/authorization, obtaining precertification (when applicable), financial work-up, and documentation of notes are obtained for inpatient and outpatient services. The CSS will assist in maintaining financial records according to departmental protocol. The CSS will provide patients with educational material and physician information when required.

Status:

Full-time, Day Shift

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

Work Location: Johns Hopkins Outpatient Center, Baltimore, MD

Education:

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

Required Licensure, Certification, etc.

EPIC certification required within 90 days. Medical terminology certification a plus.

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:

<span style="font-family: "Arial", sans-serif;">Comprehensive medical and insurance terminology; comprehensive knowledge of hospital

<span style="font-family: "Arial", sans-serif;">and physician referral protocols; comprehensive knowledge of medical insurance plans,

<span style="font-family: "Arial", sans-serif;">billing and regulations, especially managed care plans; PC word processing; PC

<span style="font-family: "Arial", sans-serif;">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.

Working Conditions:

Works in normal office environment where there is little discomfort to due to the extremes of heat, dust, noise, temperature and the like

Pay Grade: NF

"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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