Medical Collection Specialist II
About The Position
Johns Hopkins Home Care Group is seeking an experienced and motivated Infusion Collection Specialist II to join our reimbursement team. Reporting to the Department Manager, this role requires advanced proficiency in collections across multiple payers, with a focus on infusion and IV therapies. In this position, you will independently secure timely reimbursements by contacting third-party payers and insured individuals, while managing insurance verification, prior authorizations, coding, and troubleshooting complex payer issues daily. You'll also serve as a subject matter expert-training others, resolving credit balance accounts, and supporting audits and system improvements. Success in this role requires keen attention to detail, in-depth knowledge of payer guidelines (Medicare, Medicaid, commercial), and strong communication skills. Prior experience with hospital or specialty pharmacy billing systems is a plus. Why Join Johns Hopkins Home Care Group? As part of the renowned Johns Hopkins Health System, you'll contribute to delivering compassionate, high-quality home health care. We offer: A collaborative, mission-driven team environment Comprehensive benefits, including medical, dental, vision, PTO, retirement contributions, tuition assistance, and more Ongoing professional development and internal growth opportunities Ready to Apply? If you're a detail-oriented billing professional who thrives in a fast-paced healthcare environment, and you're passionate about improving patient care, we encourage you to apply today. Salary Range: Minimum $18.00/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. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. 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.
Requirements
- High School Diploma or equivalent required; Associate's or Bachelor's degree preferred
- Minimum 2 years of experience in insurance denial management, appeals processes, and EOB analysis
- Strong knowledge of payer-specific denial reasons and resolution tactics
- Solid understanding of medical terminology, coding, and billing software
- Ability to analyze and resolve issues independently, while mentoring peers
- Excellent verbal and written communication and problem-solving skills
Nice To Haves
- Prior experience with hospital or specialty pharmacy billing systems
Responsibilities
- Secure timely reimbursements by contacting third-party payers and insured individuals
- Manage insurance verification, prior authorizations, coding, and troubleshooting complex payer issues daily
- Serve as a subject matter expert-training others
- Resolving credit balance accounts
- Supporting audits and system improvements
Benefits
- Comprehensive benefits, including medical, dental, vision, PTO, retirement contributions, tuition assistance, and more
- Ongoing professional development and internal growth opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
