Pro Fee Coordinator

The Pathology Department is seeking a Pro Fee Coordinator to be responsible for assisting in maintaining and monitoring the day-to-day processing of functions within the business unit. Responsible as a team lead in assisting in reviewing and analyzing the accuracy of staff work. Will assist in weekly and monthly report preparation, developing office policies and procedures, serve as a lead for troubleshooting and problem solving and will be expected to exercise independent judgment. Maintain strict confidentiality of patient and staff information. Promote teamwork and assist in identifying areas of improvement and recommend coordinated actions to bring about changes.

Specific Duties and Responsibilities

Procedural Knowledge

• Responsible for maintaining and monitoring the day-to-day processing of assigned billing functions within the Unit.
• Serve as team lead responsible for reviewing and analyzing the accuracy of staff work.
• Responsible for overseeing the business unit in the absence of the management.
• Assist in training new staff and existing staff members.
• Provide feedback regarding problems to management and assists in problem resolution.
• Serves as back-up for report generation in Manager's absence.
• Serve as a resource for staff questions and provides staff training as needed.
  

• Identifies and resolve key issues and takes appropriate action to respond to complex patient and medical insurance inquiries
  

• Generate weekly and monthly productivity reports as assigned.
  
• Communicate with appropriate individuals outside the assigned department or institution as designated by management.
• Assists management in assigning and tracking a portion of the daily work.

Technical Knowledge

• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Working knowledge of JHU/ PBS Billing Applications.
• Utilize online resources to facilitate efficient claims processing.
• Uses relevant functions of the EPIC billing system.

Professional & Personal Development

• Participate in on-going educational activities.
• Assist in the training of staff.
• Keep current of industry changes by reading assigned material on work related topics.
• Complete three days of training annually.

Service Excellence

Must adhere to Service Excellence Standards.

• Customer Relations
• Self-Management
• Teamwork
• Communications
• Ownership/Accountability
• Continuous Performance Improvement

Special Knowledge, Skills, and Abilities

• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Working knowledge of JHU/ PBS Billing Applications.
• Knowledge of various payer processing and submission guidelines.
• Excellent interpersonal, communication and customer service skills.

Specific Physical Requirements

• While performing the duties of this job, the employee may remain in a stationary position (sitting) up to 60% of the time and standing/walking at 40%. Occasionally required to traverse throughout the laboratory or to retrieve equipment, supplies, or specimens from other locations on campus. The employee is required to operate computer keyboard, laboratory instruments, and small laboratory tools such as pipettes, cutting instruments, glass tubes, dishes, and/or slides. Constantly repositions self to perform duties at laboratory workstations, gathering specimens, and loading equipment.
  

• The employee is required to use hands/fingers to touch, type and/or feel. Will operate computer keyboard, and/or laboratory instruments, small laboratory tools such as pipettes, cutting instruments, glass tubes, dishes, and/or slides.
  

• Prolonged vision requirements including viewing computer screen, paper reports/documents charts and results. Visual acuity is required to distinguish fine gradation of color or structure and closely examine specimens (including via a microscope) for laboratory positions.
• May transport equipment and supplies usually less than 40 pounds from one area to another including laboratory supplies or luggage. May be required to lift and/or move up to 50 pounds with proper training, or precautions/lifting aides. In some areas, workspace is limited.
  

• While most of our positions require on-site presence; where positions are approved for alternate work locations (remote work) - specific expectations will be outlined and documented; and the safety of work environment, security of work information, and productivity measures are regularly reviewed with employees and subject to on-going approval by management. Staff should be aware of and report other remote work implications and requirements that may impact them or the organization.
  

• Staff may be required to complete annual competency review, and must ensure compliance with Johns Hopkins Policy, Laboratory Policy & Procedure, Health, Safety & Environment regulations, and all applicable privacy & confidentiality laws/practices. Annual training and testing requirements.

• High School Diploma or graduation equivalent
• Two years' experience in a specialty area or previous medical billing experience in a similar environment.

• Associate Degree or higher-level degree preferred.
• IDX and EPIC experience.
• Knowledge of JHM and JHU/ PBS billing applications.

Classified Title: Pro Fee Coordinator
Role/Level/Range: ATO 40/E/02/OD
Starting Salary Range: $16.20 - $28.80 HRLY ($44,031 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: Monday-Friday, 8:30am-5:00pm
Exempt Status:Non-Exempt
Location:Hybrid/School of Medicine Campus
Department name: SOM Pat Production Unit Billing
Personnel area: School of Medicine