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Johns Hopkins Medicine

Reimbursement Coordinator Pharmacy

baltimore, MD

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About this opportunity

Johns Hopkins Medicine lists this Reimbursement Coordinator Pharmacy opportunity in baltimore, Maryland. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Pharmacy Reimbursement Coordinator IISince 1983, Johns Hopkins Care at Home has provided safe, high-quality and cost-effective care in the home and community. Our team links care across multiple sites for patients, families and colleagues in an effort to restore, maintain and promote health and reduce the effects of disease and disability. As part of Johns Hopkins Medicine, we have access to the most innovative treatments and latest research, and we emphasize education and training among our team members. We also collaborate with doctors, nurses and specialists throughout Johns Hopkins Medicine to ensure continuity of your care.What Awaits You?Career growth and developmentDiverse and collaborative working environmentCompetitive Benefits PackageTuition AssistanceDay Shift: Monday-Friday | 8am-4:30pmRemote: Remote, with onsite support in Baltimore as needed. Local applicants only.JOB SUMMARY:The Pharmacy Reimbursement Coordinator II performs advanced billing and A/R functions for outpatient pharmacy services. Responsibilities include billing government payors, international and domestic third-party payors, patients, and Johns Hopkins programs, with a focus on accurate, timely reimbursement and resolution of billing issues.The ideal candidate has hands-on experience with:Pharmacy billing and/or medical billingClaims processing and submissionA/R follow-upDenials, underpayments, and payment discrepanciesPayor research and billing issue resolutionMinimum Qualifications:High School diploma or equivalent requiredMinimum 2+ years of experience in pharmacy and/or medical billing requiredRegistration with the State Board of Pharmacy, in the state in which work is performed, required upon hireCore Responsibilities:Submit claims accurately and timelyMonitor and follow up on outstanding accounts receivableResolve billing errors, denials, partial payments, and underpaymentsResearch and correct payor discrepanciesProcess refunds, credits, adjustments, and write-offs as neededMaintain detailed documentation in billing systemsWork directly with payors and internal teams to resolve reimbursement issuesRequired Skills:Strong knowledge of billing, collections, and reimbursement processesExperience working with insurance plans and third-party payorsFamiliarity with healthcare billing systemsStrong attention to detail and data accuracyExcellent written and verbal communication skillsSalary Range: Minimum 18.08/hour - Maximum 31.81/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.The Hospital reserves the right to modify employee schedules as needed.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 employer. 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.

Worksite address

baltimore, MD, 21201, US

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