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Job Details

Retail Rx Specialists II

Requisition #: 285983
Location: Johns Hopkins Home Care Group, Baltimore, MD 21224
Category: Finance
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Sept. 17, 2020

While the world is cautioned to stay home in response to the Coronavirus (COVID-19) pandemic, Johns Hopkins Home Care Group’s mission to provide integrated and high quality, individualized care to patients and families in the home and community has never been more important.

With the protection of our employees, clients, and caregivers as our highest priority, we have mobilized a swift, efficient, and comprehensive response so that we can stay on the front lines, giving care—safely. If you're the type of person who rises to the occasion and wants to make a difference in the lives of others, we want to meet you (virtually, even)! We can work through this crisis—together.

Job Summary:

The Retail Rx Specialist II works at an advanced level of proficiency to bill government payors, third-party, patients and Johns Hopkins Programs in an effective, efficient, accurate and timely manner to assure the greatest possible payment in the shortest amount of time for the outpatient pharmacies. Understands reimbursement policies of third party payers, specifically governmental payor guidelines. Works independently researching and solving complex billing and collection issues in a timely manner. Assertive and capable of identifying and resolving problems. Acts as a resource and helps train others. Must have strong customer service skills. Quality of work performed is consistent and can quantify results.

Reporting Relationship:

Reporting to the Manager Rx Reimbursement and Medication Access.

Job Requirements:

  • High School diploma or equivalent
  • Registration with the Maryland Board of Pharmacy is required.
  • Two years of medical billing experience.
  • Pharmacy expereince preferred.
  • Knowledge of Billing and Collections practices - specifically Medicare and other goverment payers.
  • Policies and Provisions of Insurance Plans
  • Medical Terminology

Skills:

  • High degree of attention to detail
  • Good communication skills
  • Computer knowledge (Excel, Word etc.) including billing systems
  • Organizational skills
  • Analytical ability to prepare reports and reconcile statements

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

We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Health System has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.

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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