Medical Collection Specialist II (654896)

Johns Hopkins Medicine; Baltimore (MD); On-site; USD 100,000 - 125,000; Full time

Job summary

A leading healthcare provider is looking for an experienced Infusion Collection Specialist II to join their team in Baltimore, Maryland. The role involves securing timely reimbursements, managing insurance verification, and serving as a subject matter expert in collections across multiple payers. Candidates should have at least 2 years of relevant experience and a high school diploma. Benefits include comprehensive health coverage and ongoing professional development opportunities.

Benefits

Collaborative, mission-driven team environment

Comprehensive benefits including medical, dental, vision, PTO

Ongoing professional development opportunities

Qualifications

• Minimum 2 years of experience in insurance denial management, appeals processes, and EOB analysis.
• Strong knowledge of payer-specific denial reasons and resolution tactics.
• Ability to analyze and resolve issues independently, while mentoring peers.

Responsibilities

• Independently 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, and supporting audits.

Skills

Insurance denial management

Effective communication

Problem-solving

Medical terminology understanding

Payer-specific resolution tactics

Education

High School Diploma or equivalent

Associate’s or Bachelor’s degree preferred

Tools

Billing software

Job description

Overview

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.

Responsibilities

• Independently 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, and supporting audits and system improvements

Qualifications and Skills

• Education: 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

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:

• 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

Salary

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, Inclusion, and Equal Opportunity

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 an Equal Opportunity / Affirmative Action 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.