The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization, academically based health system, dedicated to providing the highest quality patient health care in the treatment and prevention of human illness. What awaits you: Room for growth Medical, Dental, and Vision Insurance. 403B Savings Plan w/employer contribution. Paid Time off & Paid holidays.
Employee and Dependent Tuition assistance benefits. This is a full time remote role. Applicants residing in MD, VA, DC, PA, DE and FL will be considered.
Must have prior authorization experience in a hospital setting- Cardiology/Radiology preferred. Job Summary Responsible for all administrative and financial components of financial clearance. Handles insurance verification and pre-authorization validation, submission, and obtaining a final determination from insurance plans.
Implements process improvements. Resolves patient financial issues related to insurance prior authorizations. Communicates with insurance companies, physicians, administrators, department leaders, and other departmental staff to ensure services are financially cleared prior to service delivery to ensure an ideal patient experience.
Job Functions Obtains financial clearance for scheduled services and/or referrals prior to the date of service Secures required insurance authorizations, referrals, and notifications in accordance with payer requirements. Identifies health insurance benefit limitations, exclusions, and coverage issues per payer requirements. Ensures timely and accurate documentation of all financial clearance activities in Epic/EMR system.
Obtain elective, urgent and emergent admissions notifications if not completed prior to or at time of service Qualifications High School Diploma/GED or equivalent (Required) 2+ years of experience in financial operations or healthcare finance (Required) Strong attention to detail and self-directed to consistently ensure data integrity and accuracy. Proficient knowledge; performs standardized, assigned duties and tasks in Pre-Service Revenue Cycle Management.
Intermediate proficiency and experience using Microsoft Office Package (Excel, PowerPoint, Word, Outlook). Salary Range: Minimum 20.52/hour - Maximum 33.88/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 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. Johns Hopkins Health System and its affiliates are drug-free workplace employers.