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Job Details

Core Services Specialist Financial Clearance IV - JH Imaging

Requisition #: 183297
Location: Johns Hopkins Imaging, Johns Hopkins Imaging, Baltimore, MD 21201
Category: Clerical and Administrative Support
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: Yes
Date Posted: March 27, 2019

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, 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 those who are leaders and innovators in the healthcare field.

Summary:

The Senior Core Service Specialist, is responsible for performing all financial clearance functions related to insurance verification for new and established patients scheduled to receive services at multiple JHM entities. Entities include but are not limited. to: Johns Hopkins Hospital, Johns Hopkins Bayview, Howard County General and Suburban Hospital. Other sites include but are not limited to Johns Hopkins Community Physician sites. Financial Clearance will include but is not limited to: verify eligibility and benefits, obtain referrals, obtain pre-authorizations, pre-certification and pre-determinations. The person in this position is required when necessary to identify and confirm all resources that enable the patient to pay for scheduled and/or non-scheduled services. Other resources include but are not limited to: self-payment verification to include fee estimates, charity care, drug sponsor coverage and/or other financial assistance.

Status:

Full-Time, 40 hours per week

Day Shift, 9:00 a.m. - 5:30 p.m

Weekend Work Required

Work Location: Johns Hopkins at Keswick, Baltimore, MD

Education:

High school diploma or GED, technical training. Completion in a Medical Terminology Course.

Experience:

Four years related medical office, hospital, or specialty medical practice related experience. Of the 4 years, at least 2 must be working directly with multiple health insurance plans and/or claims billing; insurance verification, authorization and referral processing. Experience in pharmacy verification and authorization is a plus.

Must possess intermediate to advanced computer skills in the following applications: Microsoft Word 2003 or later, Microsoft Excel 2003 or later, internet for research purposes, Novell or Outlook 2007 or later. Skill level is proven through pre-hire assessments. Must type a minimum of 40 words per minute.

Certification:

Certification on appropriate registration systems is required during the 90-Day introductory period. Additional certifications may be required as needed to support educational requirements for systems and job training..

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 Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. 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.

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