Core Services Specialist IV (Insurance Specialist) 1
Johns Hopkins University

Baltimore, Maryland

Posted in Education and Training


This job has expired.

Job Info




Requisition #:616620
Location:Johns Hopkins Hospital, Baltimore, MD 21201
Category:Clerical and Administrative Support
Schedule:Day Shift

Join an amazing global healthcare organization!

Excellent compensation package!

Awesome benefits, and tuition reimbursement!

Requisition#: 546204

Location: 601 N Caroline St, Baltimore, MD 21287

Shift:

Full Time (40 hours per week)

Day Shift; 8:30am-5:00pm; weekend work not required

Non-Exempt; Pay Grade: NF

Position Summary:

Core Services Specialist IV utilizes excellent communication skills and knowledge to perform comprehensive patient scheduling and coordinate clinical operations for physicians within their division. The CSS IV communicates directly with physicians, medical staff, and patients, in order to appropriately coordinate care and facilitate patient flow. The CSS IV demonstrates a high level of independence, analytical thinking, and flexibility. Responsibilities include patient scheduling, identifying and obtaining pertinent clinical information and records, administrative duties, pre-registration, intervening with insurance related matters, proficiency with insurance guidelines, and billing functions. This requires the use of various automated computer systems, which requires JHH certification.

Education:

A.A. degree or equivalent required. B.A. degree preferred.

Licensure/Certification:

EPIC certification required within 90 days. Successful completion of departmental training program and all related competency assessments. Certification in various computer systems as necessary. EPIC certification required within 90 days. Medical terminology certification required or must pass JHH medical terminology assessment with passing grade of 70% or complete 10-12-week medical terminology course with grade of 70% within first year of employment to maintain position.

Required Work Experience:

5 years of related experience required

Knowledge, Skills and Abilities:

  • Comprehensive understanding of medical and insurance terminology.
  • Technical competence and demonstrated proficiency with medical insurance plans, billing regulations and managed care plans, applicable to inpatient care.
  • Familiar with multiple payer's insurance verification and pre-certification guidelines.
  • Requires basic working knowledge of payer's billing and collection practices.
  • Able to obtain payer specific details, as necessary to ensure accurate coordination of benefits.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices

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.
https://apptrkr.com/get_redirect.php?id=3970313&targetURL=546204

Location: 601 N Caroline St, Baltimore, MD 21287

Shift:

Full Time (40 hours per week)

Day Shift; 8:30am-5:00pm; weekend work not required

Non-Exempt; Pay Grade: NF

Position Summary:

Core Services Specialist IV utilizes excellent communication skills and knowledge to perform comprehensive patient scheduling and coordinate clinical operations for physicians within their division. The CSS IV communicates directly with physicians, medical staff, and patients, in order to appropriately coordinate care and facilitate patient flow. The CSS IV demonstrates a high level of independence, analytical thinking, and flexibility. Responsibilities include patient scheduling, identifying and obtaining pertinent clinical information and records, administrative duties, pre-registration, intervening with insurance related matters, proficiency with insurance guidelines, and billing functions. This requires the use of various automated computer systems, which requires JHH certification.

Education:

A.A. degree or equivalent required. B.A. degree preferred.

Licensure/Certification:

EPIC certification required within 90 days. Successful completion of departmental training program and all related competency assessments. Certification in various computer systems as necessary. EPIC certification required within 90 days. Medical terminology certification required or must pass JHH medical terminology assessment with passing grade of 70% or complete 10-12-week medical terminology course with grade of 70% within first year of employment to maintain position.

Required Work Experience:

5 years of related experience required

Knowledge, Skills and Abilities:
  • Comprehensive understanding of medical and insurance terminology.
  • Technical competence and demonstrated proficiency with medical insurance plans, billing regulations and managed care plans, applicable to inpatient care.
  • Familiar with multiple payer's insurance verification and pre-certification guidelines.
  • Requires basic working knowledge of payer's billing and collection practices.
  • Able to obtain payer specific details, as necessary to ensure accurate coordination of benefits.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices

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.
Apply
To apply, visit https://jobs.hopkinsmedicine.org/job/core-services-specialist-iv-insurance-specialist-1-clerical-and-administrative-support-us-md-baltimore-johns-hop-616620-23225/








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