Credit Specialist

Job Req ID: 113566

Credit Specialist

We are seeking a Credit Specialist who will be 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

Procedural Knowledge

• 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.

• Research 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.

Technical Knowledge

• 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.

• Professional & 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.

Department Specific Responsibilities

Service Excellence

• Must adhere to Service Excellence Standards.

• Customer Relations

• Self-Management

• Teamwork

• Communications

• Ownership/Accountability

• Continuous Performance Improvement

.

Minimum Skills & Abilities

• Good organizational skills, ability to interact effectively and strong analytical skills required.

• Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.

• Physical requirements for the job:

• 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.

• Able to move about.

• Able to lift minimum weight, 10 lbs.

Minimum Qualifications

• HS/GED required.

• One year experience in medical billing or in a medical specialty area is required.

• Additional education beyond minimum experience qualifications may substitute for required experience to the extent permitted by the JHU equivalency formula

Preferred Qualifications

• 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.

Classified Title: Refund Specialist

Job Posting Title (Working Title): Credit Specialist

Role/Level/Range: ATO 40/E/02/OC

Starting Salary Range: $15.50 - $25.00 HRLY ($42,120 targeted; Commensurate with experience)

Employee group: Full Time

Schedule: M-F 8:30AM - 5PM

Exempt Status: Non-Exempt

Location: Hybrid/JH at Middle River

Department name: SOM Admin CPA Refunds

Personnel area: School of Medicine

Total Rewards

The referenced salary range is based on Johns Hopkins University's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/.

Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines: 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 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.

Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.

The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

EEO is the Law:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

Accommodation Information

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 Talent Acquisition Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit https://accessibility.jhu.edu/.

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. The COVID-19 vaccine does not apply to positions located in the State of Florida. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.

The following additional provisions may apply, depending upon campus. Your recruiter will advise accordingly.

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.

Hybrid: On-site 1-2 days a week