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Johns Hopkins Medicine Patient Financial Service Rep II - Overpayments in St. Petersburg, Florida

Patient Financial Service Rep II - Overpayments

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Johns Hopkins All Children's Hospital,
St. Petersburg, FL
Requisition # 159304
Day Shift
Full Time (40 hours)
Weekend Work Required

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.

Reviews and researches each account to determine if the credit is attributed to an incorrect contractual allowance or true overpayment by insurance carrier or guarantor.

Effectively documents overpayments, refund requests, and reasons for contractual adjustments in the patient accounting system to ensure departmental guidelines are met.

Develops a work plan to eliminate the backlog of credits balances to help reduce AR days.

Develops a sound working knowledge of managed care contracts and various payment methodologies to ensure that the appropriate insurance payments are received and/or refund requests are warranted.

High School Diploma/GED.2 years of relevant work experience with moderate understanding of medical billing and coding terminology for a hospital facility

Moderate knowledge of hospital insurance and self-pay accounts receivable with contract reimbursement, denials management, refunds, and credit balance review

Ability to read, write, speak, and understand English

Moderate computer skills, working in multiple systems and proficient in Microsoft Office Applications

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.

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

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