Reimbursement Recovery Analyst

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

• Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
• Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
• 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

Reimbursement Recovery Analyst

Requisition Number

40493

Employment Type

Full Time

Division

FINANCIAL SERVICES

Compensation Type

Salaried

Job Category

Business / Professional

Hours Worked

8:00AM - 5:00PM

Location:

JPOC 1350

Shift Worked

Day

Job Description

Job Summary: The Reimbursement Recovery Analyst is responsible for reviewing denials, determining root cause, and assists in implementing processes to prevent future denials.

Essential Job Functions & Accountabilities

• Analyzes third party denials and prepares relevant reports regarding trends, payments, and denials.
• Monitors and reviews denial reason codes and underpayments to identify root causes; works with payer contracting and other areas of the revenue cycle if necessary to resolve issues.
• Identifies trends or patterns of denials and initiates/communicates the resolution of issues, such as payor denial trends due to charging, coding, or billing related issues.
• Supports and participates in process and quality improvement initiatives.
• Works with ancillary departments to identify the source for denials and develops processes to eliminate and or minimize denials and improve cash flow.
• Maintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job; educates and trains other follow-up staff as needed.
• Collaborates with other departments to identify best-practice collections strategies, align goals, and reduce denials.
• Creates and provides regular updates to reports which help identify and correct issues that are negatively impacting revenue.
• Assists with completing denial projects when mass denials are identified.
• Works with the project specialist to assist with task forces and ad-hoc teams.
• Actively participates in revenue cycle initiatives and leads processes affecting operations within revenue cycle.
• Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.
  
  

Qualifications

Required Qualifications:

• One of the following qualification groupings is required for this position as indicated below:
• Bachelor's degree in finance, accounting, healthcare administration, or a related field.
• 1 year of experience in healthcare billing, coding, collections or revenue cycle management.
  

OR

• High School Diploma, GED, or equivalent.
• 5 years of experience in healthcare billing, coding, collections or revenue cycle management.
  
  

Preferred Qualifications:

• Bachelors/associate's degree in finance, accounting, healthcare administration, or a related field.
• Experience in various areas of revenue cycle (patient access/registration, health information management, patient financial services, etc.).
  
  

Location Address:

1350 S. Main Street

Fort Worth, Texas, 76104

United States