Remote Pharmacy Reimbursement Specialist

Johns Hopkins Healthcare

Baltimore (MD)

Hybrid

USD 25,000 - 44,000

Full time

9 days ago

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Benefits offered by this job

Career growth
Collaborative environment
Benefits package
Tuition assistance

Job summary

Johns Hopkins Health System in Baltimore seeks a Pharmacy Reimbursement Coordinator II to manage advanced billing and accounts receivable for outpatient pharmacy services. You will bill government payors, third-party payors, patients, and Johns Hopkins programs with a focus on timely reimbursement.

The ideal candidate has 2+ years in pharmacy or medical billing, strong payor research skills, and detail-oriented auditing capabilities.

Qualifications

  • High School diploma or equivalent required.
  • Minimum 2+ years of pharmacy and/or medical billing experience.
  • State Board of Pharmacy registration required upon hire.

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.

Skills

Billing and collections
A/R follow-up
Payor research
Denials resolution
Attention to detail
Communication skills

Education

High School diploma or equivalent
State Board of Pharmacy registration

Tools

Billing systems
Claims processing platforms

Job description

Johns Hopkins Health System in Baltimore seeks a Pharmacy Reimbursement Coordinator II to manage advanced billing and accounts receivable for outpatient pharmacy services. You will bill government payors, third-party payors, patients, and Johns Hopkins programs with a focus on timely reimbursement.

The ideal candidate has 2+ years in pharmacy or medical billing, strong payor research skills, and detail-oriented auditing capabilities.

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