Medical / Infusion Collection Specialist II

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As a Collection Specialist II with Johns Hopkins Home Care Group, you will be responsible for managing insurance denial resolution and payment recovery for our vital home health care services. You'll specialize in analyzing denied claims, preparing appeals, and working directly with insurance companies to overturn denials and secure proper reimbursement. Working independently, you'll navigate complex payer requirements, resubmit claims with corrected documentation, and resolve challenging denial patterns. As a senior team member, you'll also mentor other staff and serve as a go-to resource for complex denial resolution strategies.

What We're Looking For
We're seeking an experienced insurance collection specialist with strong analytical skills and persistence in overturning claim denials. The ideal candidate understands payer-specific claims, patterns, and excels at crafting successful appeals and resubmission strategies.

Education, Knowledge & Skills:

• High School Diploma or equivalent required; College degree preferred
• 2+ years of experience in insurance denial management, appeals processes, and EOB analysis
• Advanced knowledge of payer-specific denial reasons and successful resolution strategies
• Strong understanding of medical terminology and coding
• Excellent problem-solving and communication skills with ability to train others
• Ability to work independently while mentoring team members

When you join Johns Hopkins Home Care Group, you become part of the renowned Johns Hopkins Health System and contribute directly to improving patient access to quality home health care. We offer excellent professional development and training opportunities within a collaborative team environment, along with a comprehensive benefits package that supports your career growth and personal well-being.
We offer competitive pay, great health benefits, generous time off, retirement plans, tuition support, wellness programs, and opportunities to grow. You'll be part of a world renowned health system.

We're looking for a detail-oriented professional who thrives in a fast-paced healthcare environment and is committed to ensuring patients receive the care they need. If you have the experience and dedication to excel in this role, we encourage you to apply.

Salary Range: Minimum 17.50/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.