Claims Examiner Job Vacancy in JPS Health Network Fort Worth, TX 76104 – Latest Jobs in Fort Worth, TX 76104 – updated today

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Full Details :
Company Name :
JPS Health Network
Location : Fort Worth, TX 76104
Position : Claims Examiner

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

Job Description:

Description: The Claims Examiner is responsible for assisting with development of all State Requirement Reports and assisting with medical and dental claims adjudication including resolving and researching all system issues with IT/Database department.
Typical Duties:

Acts as a liaison between Claims Department and IT Department.

Identifies claims system errors and report them to IT, coordinate with IT Department on all open issues.

Ensures Reprise Facility claims through Internet base system.

Researches claims issues in an automated system; maintains record keeping of all claims open issues.

Ensures all claims reporting requirements are met; complete daily production reports and weekly pending reports.

Prepares customer service log reports; support and back up claims and customer service department as needed.

Processes professional, facility and dental claims and provide phone back up as needed to meet departmental guidelines.

Maintains appropriate work habits, assist in training employees.

Performs other related job duties as assigned.

Qualifications:

Required Education and Experience:
High School Diploma or GED.
3 plus years of Benefits and Claims experience.
3 plus years of Managed Care experience.

Preferred Education and Experience:
Associates Degree or two years of college.

Location Address: 1400 S. Main Street Fort Worth, Texas, 76104 United States

This post is listed Under Jobs in general jobs

Post Tags : , Fort Worth, TX 76104, jobs in Fort Worth, TX 76104, Claims Examiner jobs in Fort Worth, TX 76104

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