COLLECTION SPECIALIST II- Johns Hopkins Home Care Group (Hybrid)

Collection Specialist II

At Johns Hopkins Home Care Group, we are committed to providing high-quality care and service to our patients and the communities we serve. We are looking for a detail-oriented and experienced Collection Specialist II to join our team and support the timely and accurate collection of payments for home health care services.

What Awaits You:

• Full-time position, 40 hours per week

• Monday–Friday, 8:00 a.m.–4:30 p.m.

• Opportunity to work independently while collaborating with a supportive team

• Remote training and onboarding

• Opportunity to serve as a resource and assist in training other team members

As a Collection Specialist II, You'll:

• Perform advanced accounts receivable follow-up and collection activities for multiple third-party payers.

• Review aging accounts, identify payment delays, and take appropriate action to resolve outstanding balances.

• Research and resolve complex payer issues, including denied, underpaid, or unpaid claims.

• Follow up on secondary claims and ensure accounts are worked within payer-specific timely filing and appeal guidelines.

• Review and resolve credit balance accounts, including processing refunds, retractions, and adjustments as appropriate.

• Resolve account discrepancies and partial payment issues while ensuring compliance with payer contracts and policies.

• Maintain accurate and thorough documentation of collection activity in the billing system.

• Work with billing, front-end staff, and other collection team members to resolve complex account issues and identify process improvements.

• Support payer audits by researching billing issues, responding to inquiries, and preparing documentation and correspondence.

• Assist with software system testing and other departmental projects as assigned.

• Assist other collectors and billing staff with claim resubmissions, reviews, denials, and underpayments.

• Serve as a resource to team members by sharing knowledge of payer requirements, billing practices, and collection procedures.

• Help train and provide backup support for other staff members.

• Communicate concerns, compliance issues, and potential problems to the Team Lead and Department Manager.

• Perform other duties as assigned by the supervisor.

What You'll Need to Be Successful:

• High School Diploma or equivalent required; college education preferred.

• Minimum of 2 years of medical billing or collections experience required.

• Knowledge of billing and collection practices, including third-party payer requirements and regulations.

• Understanding of medical terminology and coding.

• Computer literate and comfortable navigating multiple computer and billing systems.

• Basic knowledge of Microsoft Excel.

• Strong organizational and time-management skills.

• Excellent written and verbal communication skills.

• Strong attention to detail, analytical, and problem-solving abilities.

• Ability to work independently and manage workload with minimal supervision.

• Comfortable learning and training remotely, including proactively asking questions and seeking clarification when needed.

• Ability to maintain accurate documentation and meet productivity expectations.

• Professionalism and the ability to establish and maintain positive working relationships with coworkers and other departments.

• Ability to handle confidential patient and billing information appropriately.

Work Environment:

This position works in a normal office environment with limited physical discomfort related to temperature, noise, dust, or similar conditions. The role requires regular use of a computer and telephone and may involve sitting, standing, walking, reaching, handling, and other routine office activities.

Salary Range: Minimum 15.86/hour - Maximum 26.23/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.