Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance
outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS? We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

For more information, visit www.jpshealthnet.org .
To view all job vacancies, visit www.jpshealthnet.org , www.jpshealthnet.org/careers , or www.teamacclaim.org .

Job Title:

Sr Billing Collections Rep

Requisition Number:

32460

Employment Type:

Full Time

Division:

FINANCIAL SERVICES

Compensation Type:

Hourly

Job Category:

Support Services

Hours Worked:

Location:

JPOC 1350

Shift Worked:

Job Description:

Description: The Senior Billing Collections Representative is responsible for billing, collections and reconciliation of all insurance claims. The position processes claims daily, reviews claims for accuracy, performs required edits and submits claim to payers.

Typical Duties:

1. Monitors recurring rejected claims to management for evaluation of impact on the timely filing of claims.
2. Researches and processes credit balances by refund and or adjustment reports and process claims and/or remittance advice/EOB for insurance carriers.
3. Reviews claims for accuracy, performs required edits, submits claims and/or rebills to payors daily to ensure timelines of claim submission.
4. Reviews the rejection reports to determine information needed to complete the billing or claim submission process.
5. Processes claims and or Remittance Advice/EOB for insurance carriers while comparing reimbursement to available contracts.
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6. Reconciles Medicare and/or Medicaid remittance advice to patient accounts.
7. Researches and responds to incoming patient, payer, physicians and or representative inquiry by telephone and/or mail within 2 business days of requests.
8. Tracks productivity and provide weekly status reports to the Coordinator, Supervisor and /or Director.
9. Documents all actions taken on accounts in the system account notes to ensure all prior actions are not noted and understandable by others.
10. Reviews claims in SSI, THIN and TexMedNet for missing elements; notifies Medical Records and/or Medical Denial and Appeals of impending filing deadlines.
11. Reports all recurring rejected claims to management for evaluation of impact on the Accounts Receivables.
12. Performs other related duties as assigned.
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Qualifications:

Required Education and Experience:
• High School Diploma, GED or equivalent.
• 1 plus year of Medical Billing/Collector experience.
Preferred Licensure/Certification/Specialized Training:
• AAHAM Membership.

Location Address: 1350 S. Main Street Fort Worth, Texas, 76104 United States