Specific Duties & Responsibilities

Procedural Knowledge

• Working knowledge of Assistant, Associate and PUM roles and responsibilities.
• Develop and monitor department group incentive plan targets. Analyze and present data for exceptions, if needed.
• Provide assistance to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS) in the form of analysis, consultation, planning day-to-day management of the financial and administrative billing operation of the department.
• Manages professional fee billing staff to ensure timely and consistent reimbursement for services rendered by clinicians from patients, insurance carriers, and/or state and federal agencies as appropriate.
• Researches and resolves compliance issues and clarifies various billing concerns. Explains monthly service, income and rejection-analysis reports to department physicians, faculty, administration, Clinical Practice Association (CPA) and Physicians Billing Service (PBS) management.
• Interface with third-party professional relations representatives to include Commercial, HMO, Medicare, Blue Shield and Medicaid. Meets periodically with representatives to discuss payment problems, coding compliance issues, and claim receipts.
• Act as departmental liaison with payer to stay current with changes in insurance requirements for several hundred payers, assuring that office procedures meet specifications for prompt payment.
• Monitors charge and revenue budget variances and provides explanation to department Management.
• Direct the development of billing policies and procedures for the departments' professional fee billing offices consistent with, and complementary to, those already in place with the CPA.
• Perform yearly reviews of encounter forms.
• Broad scope of responsibility which includes interactions with physicians, administrators and divisional directors regarding divisional performance.
• Department has large number of subspecialties requiring expanded knowledge of billing requirements of 3rd party payers.
• Provide assistance to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS) in the form of analysis, consultation, planning day-to-day management of the financial and administrative billing operation of the department.
  

• Manages professional fee billing staff through subordinate managers and supervisors to ensure timely and consistent reimbursement for services rendered by clinicians.
  

• Develops and presents divisional monthly report packages to directors and provides in-depth financial analysis at divisional level.
  

• Manage large production unit with multiple subspecialties requiring broader scope of specialty knowledge and associated budgets.
  

• Oversee and Analyze subspecialty data and routinely interacts with physician divisional directors to review subspecialty billing information used in development of future business strategies.
  

• Participate and chair various committees on both a departmental, as well as a school wide level.
  

• Monitors essential monthly reports to ensure productivity, unit, core services and CPA objectives are met for their areas of responsibility.

Technical Knowledge

• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Utilize online resources including IDX, Compass and Cognos to facilitate efficient claims processing.
• Requires a thorough understanding of medical billing and the unique customer service requirements as related to patients, physicians and administrative staff in a high-volume medical services environment.
• Excellent communication and customer service skills with the ability to work well under pressure.

Professional and 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.

Physical Requirements 

• While performing the duties of this job, the employee may remain in a stationary position (mostly seated) up to 80% of the time. Occasionally required to traverse throughout the work area or to retrieve supplies or mail/documents from other locations. The employee is required to operate computer keyboard, mouse, calculator, and phone 80% of the day; additional duties may require opening envelopes, removing or applying staples, processing mail; requiring finger dexterity and some repetitive motions.
• Prolonged vision requirements including ability to see/viewing computer screen, paper reports/documents, charts.
• Position requires frequent use of the telephone, while multi-tasking to retrieve or review information from the computer in order to assist callers quickly and confidentially. Must be able to communicate using the spoken and written word in a clear, concise, and professional manner. Able to hear within normal range.
• May transport materials usually less than 20 pounds from one area to another; may be required to lift and/or move up to 40 pounds with proper training, or precautions/lifting aides (example: file boxes, copier paper, mail bags). In some areas workspace is confined; may work in an open workstation or cubicle.
• Staff may be required to complete annual competency review, and must ensure compliance with Hospital Policy, Laboratory Policy & Procedure, Health, Safety & Environment regulations, and all applicable privacy & confidentiality laws/practices.
• Johns Hopkins School of Medicine -Clinical Operations - Required Attendance position: in the event of unexpected university closings including inclement weather or declared emergency, the employee in this position may be required to report to work and/or remain at work and may be required to work additional hours.

Special Knowledge, Skills & Abilities

• Strong organizational and analytical skills.
• Excellent organizational skills.
• Aptitude for figures and attention to detail.
• Ability to interact effectively.
• Capable of meeting deadlines and working well under pressure.
• Knowledge of PCs and PC applications.
• Knowledge of JHM and JHU/ PBS billing applications.

• Five years progressively responsible professional level experience in a physician’s group practice environment.
• Three years supervisory experience required.
• Additional education may substitute for experience, and additional experience may substitute for education to the extent permitted by the JHU equivalency formula.

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• In-depth knowledge of academic specific billing issues and management experience in and academic professional fee billing office required.
• Proficiency in IDX and excellent personal computer skills required.
• EPIC experience preferred.
• CPC certification.

Classified Title: Sr. Production Unit Manager 
Job Posting Title (Working Title): CO Sr Production Unit Manager   
Role/Level/Range: L/04/LD  
Starting Salary Range: $75,800 - $132,600 Annually ($105,966 targeted; Commensurate with experience) 
Employee group: Full Time 
Schedule: Monday-Friday 8:30-5:00 
Exempt Status: Exempt 
Location: Hybrid/JH at White Marsh 
Department name: ​​​​​​​SOM Pat Production Unit Billing  
Personnel area: School of Medicine