The Department of Pathology seeks a Pro Fee Supervisor who will supervise the Accounts Receivable Staff responsible for ensuring that all third-party reimbursement is at expected levels and work directly with Third Party Reimbursement to resolve payer issues. This role will provide staff oversight for the submission of both paper and electronic claims to all primary and secondary third-party payers and will assist in developing office policies and procedures, serve as a lead for troubleshooting, problem solving and will be expected to exercise independent judgment. They will complete tasks as needed and defined by department management. This position requires a thorough understanding of medical billing and experience using the appropriate billing system. They will maintain strict confidentiality of staff and patient information as well as promote team work and identify areas of improvement and recommend coordinated actions to bring about changes.
Specific Duties & Responsibilities:
Interviews, and makes recommendations for hiring, termination, and other performance related functions.
Provides direct staff supervision to include training, orientation, maintaining work schedules, and assigning workflow.
Monitors the quality and productivity of staff and documents performance and disciplinary actions as needed.
Communicates with patients, physicians, insurance companies and other departments as applicable.
Exercises discretion and good judgment in resolution of daily issues.
Assists with controlling expenditures, purchasing, payroll, record control and other administrative activities.
Assists with developing, interpreting, monitoring, implementing and maintaining CPA Policy and Procedures.
Develops and prepares financial and statistical reports for management and CPA analysis.
Performs miscellaneous related duties as assigned.
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Working knowledge of JHU/ PBS Billing Applications.
Professional and Personal Development:
Participate in on-going educational activities.
Assist in the training of staff.
Keep current of industry changes by reading assigned material on work related topics.
Complete three days of training annually.
Must adhere to Service Excellence Standards
Continuous Performance Improvement
Minimum Qualifications (Mandatory):
High school diploma/GED.
Five years experience in a medical billing environment including one year lead or supervisor experience. Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula.
Associate's degree in a related field.
CPC strongly preferred.
Thorough understanding of medical billing and experience using the appropriate billing system.
Knowledge of JHM and JHU/PBS billing applications.
Special Knowledge, Skills & Abilities:
Strong analytical skills.
Excellent organizational skills.
Aptitude for figures and attention to detail.
Ability to interact effectively.
Capable of meeting deadlines and working well under pressure.
Knowledge of PCs and PC applications.
Excellent interpersonal, communication and customer service skills.
Knowledge of JHM and JHU/ PBS billing applications.
Able to operate basic office equipment, e.g. photocopier, fax machine, scanner, PC, telephone, etc.
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for the required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
Classified Title: Pro Fee Supervisor Role/Level/Range: ATO 37.5/03/OF Starting Salary Range: $41,638 - $57,279 annually (commensurate with experience) Employee group: Full Time Schedule: M-F 8:30am-5:00pm Exempt Status: Exempt Location: JH at Franklin Square Department name: SOM Pat Production Unit Billing Personnel area: School of Medicine
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 email@example.com. 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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