Responsible for the processing of refunds and the resolution of credit balances. This position will analyze the EPIC billing system to assure accuracy of payment posting and third party reimbursement. Credits will be appropriately investigated and processed following proper accounting methods and established procedures. The Refund/Credit Balance Specialist will interact with physicians, administration, clinical, accounting and PBS personnel to resolve credit balance issues. Strict confidentiality of patient information, including charges, treatment plans and diagnosis will be maintained
Specific duties & responsibilities:
Responsible for the processing of refunds and resolving credit balances.
Prepares check requests via EPIC and SAP System for accounts payable department.
Exchanges information with individuals outside the assigned department or institution.
Ability to research and answers refund questions.
Responsible for the reconciliation of refunds and wire transfers to the EPIC billing system and the university revenue accounts.
Interacts closely with the Reconciliation and Payments staff when credit balance problems occur.
Accurately maintains online Refund Distribution Sheets.
Assists with payment posting and month-end closing.
All governmental refunds must be processed in thirty days or a comment placed in EPIC on the invoice.
Verify accuracy of refund checks and posts refund debit to the EPIC system.
Researches and resolves “Suspense Postings”, by contacting third party payers, JHH and other entities, by phone and in writing, to determine the correct destination for payments.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Exercises discretion and judgment in the resolution of credit balance issues.
Provides feedback regarding problems to management.
Working knowledge of JHU/ PBS Billing Applications
HS/GED required. One year experience in medical billing or in a medical specialty area is required.
Good organizational skills, ability to interact effectively and strong analytical skills required.
One year of payment posting or refund/credit balance experience preferred.
Knowledge of professional fee billing preferred.
Good written and verbal communication skills preferred.
Knowledge of the EPIC billing System and knowledge of PCs and PC applications preferred.
Any specific physical requirements for the job:
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Able to sit in a normal seated position for extended periods of time.
Able to reach by extending hand(s) or arm(s) in any direction.
Finger dexterity required, able to manipulate objects with fingers rather than entire hand(s) or arm(s), e.g., use of computer keyboard.
Able to communicate using the spoken and written word.
Able to see within normal parameters and to hear within normal range.
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at firstname.lastname@example.org. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130 years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Bal...timore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.