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 MultispecialtyGroup 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, visitwww.jpshealthnet.org, www.jpshealthnet.org/careers,or www.teamacclaim.org.
Description: The Refund Analyst reviews posted transactions to determine the reason for a credit balance and is responsible for accurate completion and resolution of potential credit balances for health plan payers and patients/guarantors. This position requires detailed analysis and critical thinking to determine what is necessary to correct an account. After review, if a refund is appropriate to either the patient or insurance company, a payment transfer is necessary or a reversal or correction of a contractual allowance or an administrative adjustment is warranted. The Refund Analyst is responsible for correcting the postings and/or refunding the overpayment to the correct payer(s).
Typical Duties:
- Generates refund requests and routes resolution to accounts payable for patients and third party payers; refunds overpayments and/or transfers payments to the appropriate account/accounts.
- Enters refunds into the patient accounting system daily.
- Researches and resolves unapplied activity accounts.
- Documents any request or concern received via mail, e-mail, telephone, written correspondence on the patient's account.
- Responsible for responding to insurance/patient requests for refunds in a timely manner (within 24 hours of receipt of message for phone calls).
- Identifies the originating cause of the need for a refund, and compiles a report of recurring issues to management.
- Responsible for correcting errors in the calculation and posting of insurance contractual adjustments.
- Compiles the monthly credit balance reports for accounts that will be refunded and/or have been refunded, including Medicare and Medicaid accounts.
- Completes documentation of daily activities for individual productivity tracking and for patient account volume management.
- Cross-trains in other related business office functions to ensure smooth operation of the department.
- Assist as a backup for Customer Service answering the ACD phone line.
- Maintains confidentiality of all protected health information (PHI).
- Performs all job functions in a manner consistent with JPS Health Networks expectations as defined in JPSs mission statement and values.
- Adheres to policies and procedures as required by JPS Health Network.
- Performs other job related duties as assigned.
- Required Education and Experience:
- High school graduate or equivalent (GED) required.
- Experience with analyzing explanation of benefits (EOBs) from various insurance companies/payers.
- One year of experience in accounting, handling cash and/or cash reconciliation in a healthcare facility or hospital.
- Experience using Microsoft Office such as Word and Excel.
- Associates degree in Healthcare Administration or other related field from an accredited college or university.
- Experience using Electronic Medical Record systems such as EPIC.
Preferred Education and Experience:
Location Address:
1350 S. Main Street
Fort Worth, Texas, 76104
United States