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Payer Specialist

Company: JPS Health Network
Location: Fort Worth
Posted on: May 4, 2021

Job Description:

Who We Are

JPS Health Network is a $950 million, tax-supported health care system in North Texas. Licensed for 578 beds, the network features 75 locations across Fort Worth, with John Peter Smith Hospital --home to Tarrant County's first and only Level 1 Trauma Center, only psychiatric emergency services site, and the largest hospital-based family medical residency program in the nation - and more than 40 community-based clinics. All told, our network employs more than 7,200 people.

Acclaim is our multispecialty medical practice group featuring over 300 providers serving the JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim 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:

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!

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Job Description:

Description: Job Summary: The Payer Specialist is responsible for coordinating all projects related to outstanding AR due to payer delays in payment. This position is the point of contact for complex account reviews that require escalation to the Insurance Provider Representative.

Typical Duties:

* Owner of all responsibilities related to payer projects.
* Acts as escalation point between Patient Financial Services and Insurance Provider Representative.
* Monitors all payer projects to ensure timely completion.
* Escalates exhausted appeal efforts for resolution.
* Acts as point of contact for complex account resolution.
* Identifies payer trends, determines financial impact, and escalates to Insurance Provider Representative.
* Monitors high dollar accounts to ensure there are no payer delays and escalates as needed if delays are identified.
* Partners with key stakeholders to ensure timely resolution is received from payers.
* Maintains internal logs for reporting and internal tracking purposes.
* Provides a monthly report of payer trends to leadership.
* Compiles necessary data and provides updates at Joint Operating Committee meetings.
* Maintains knowledge of payer contracts and reimbursement regulations.
* Performs other job related duties as assigned.


Required Education and Experience:
* High School Diploma, GED, or equivalent
* 5 years of experience in hospital billing and collections
Preferred Education and Experience:
* Associated degree in business or other related field
* 10 years of experience in hospital billing and collections

Location Address:

1350 S. Main Street

Fort Worth, Texas, 76104

United States

Keywords: JPS Health Network, Fort Worth , Payer Specialist, Other , Fort Worth, Texas

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