JPS Health Network
Sr Patient Collections & Medical Billing Rep
JPS Health Network, Fort Worth, Texas, United States, 76102
Sr Patient Collections & Medical Billing Rep
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Sr Patient Collections & Medical Billing Rep
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JPS Health Network Overview 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 serving JPS Health 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. Responsibilities
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 claims to payers. Monitors recurring rejected claims to management for evaluation of impact on the timely filing of claims. Researches and processes credit balances by refund and/or adjustment reports and processes claims and/or remittance advice/EOB for insurance carriers. Reviews claims for accuracy, performs required edits, submits claims and/or rebills to payors daily to ensure timelines of claim submission. Reviews the rejection reports to determine information needed to complete the billing or claim submission process. Processes claims and/or Remittance Advice/EOB for insurance carriers while comparing reimbursement to available contracts. Reconciles Medicare and/or Medicaid remittance advice to patient accounts. Researches and responds to incoming patient, payer, physicians and/or representative inquiries by telephone and/or mail within 2 business days of requests. Tracks productivity and provides weekly status reports to the Coordinator, Supervisor and/or Director. Documents all actions taken on accounts in the system account notes to ensure prior actions are clear to others. Reviews claims in SSI, THIN and TexMedNet for missing elements; notifies Medical Records and/or Medical Denial and Appeals of impending filing deadlines. Reports all recurring rejected claims to management for evaluation of impact on the Accounts Receivables. Performs other related duties as assigned. Qualifications
High School Diploma, GED or equivalent. 1+ year of Medical Billing/Collector experience. AAHAM Membership (preferred). Location
1350 S. Main Street, Fort Worth, Texas, 76104, United States Seniority level
Mid-Senior level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care
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Join to apply for the
Sr Patient Collections & Medical Billing Rep
role at
JPS Health Network Overview 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 serving JPS Health 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. Responsibilities
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 claims to payers. Monitors recurring rejected claims to management for evaluation of impact on the timely filing of claims. Researches and processes credit balances by refund and/or adjustment reports and processes claims and/or remittance advice/EOB for insurance carriers. Reviews claims for accuracy, performs required edits, submits claims and/or rebills to payors daily to ensure timelines of claim submission. Reviews the rejection reports to determine information needed to complete the billing or claim submission process. Processes claims and/or Remittance Advice/EOB for insurance carriers while comparing reimbursement to available contracts. Reconciles Medicare and/or Medicaid remittance advice to patient accounts. Researches and responds to incoming patient, payer, physicians and/or representative inquiries by telephone and/or mail within 2 business days of requests. Tracks productivity and provides weekly status reports to the Coordinator, Supervisor and/or Director. Documents all actions taken on accounts in the system account notes to ensure prior actions are clear to others. Reviews claims in SSI, THIN and TexMedNet for missing elements; notifies Medical Records and/or Medical Denial and Appeals of impending filing deadlines. Reports all recurring rejected claims to management for evaluation of impact on the Accounts Receivables. Performs other related duties as assigned. Qualifications
High School Diploma, GED or equivalent. 1+ year of Medical Billing/Collector experience. AAHAM Membership (preferred). Location
1350 S. Main Street, Fort Worth, Texas, 76104, United States Seniority level
Mid-Senior level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care
#J-18808-Ljbffr