Reimbursement Coordinator Pharmacy
johns hopkins medicineBaltimore, MD
Reimbursement Coordinator Pharmacy
johns hopkins medicineBaltimore, MD
yesterday
Industries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsGeneral Medical and Surgical HospitalsPharmacies and Drug RetailersAbout the role
Pharmacy Reimbursement Coordinator IISince 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-4:30pmRemote: 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 submissionA/R follow-upDenials, 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
Salary Range:
Minimum 18.08/hour - Maximum 31.81/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 drug-free workplace employers. 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.
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JOB OVERVIEW
Experience level
Senior
Location
Baltimore, MD
Occupation
Billing and Posting Clerks
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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