Reimbursement Coordinator Pharmacy

Since 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 development
• Diverse and collaborative working environment
• Competitive Benefits Package
• Tuition Assistance

Day Shift: Monday-Friday | 8am-4:30pm

Remote: 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 billing
• Claims processing and submission
• A/R follow-up
• Denials, underpayments, and payment discrepancies
• Payor research and billing issue resolution

Minimum Qualifications:

• High School diploma or equivalent required 
• Minimum 2+ years of experience in pharmacy and/or medical billing required 
• Registration with the State Board of Pharmacy, in the state in which work is performed, required upon hire 

Core Responsibilities

• Submit claims accurately and timely
• Monitor and follow up on outstanding accounts receivable
• Resolve billing errors, denials, partial payments, and underpayments
• Research and correct payor discrepancies
• Process refunds, credits, adjustments, and write-offs as needed
• Maintain detailed documentation in billing systems
• Work directly with payors and internal teams to resolve reimbursement issues

Required Skills

• Strong knowledge of billing, collections, and reimbursement processes
• Experience working with insurance plans and third-party payors
• Familiarity with healthcare billing systems
• Strong attention to detail and data accuracy
• Excellent written and verbal communication skills