JTS Health Partners
51 - 200 employees
Founded 2002
🤝 B2B
💳 Fintech
🤖 Artificial Intelligence
B2B • Fintech • Artificial Intelligence
JTS Health Partners is a healthcare management consulting and professional services firm that helps hospitals, health systems, and physician practices optimize revenue cycle management, health information management, health information technology, analytics, and financial technology. The company provides consulting, interim management, staffing, outsourcing/co-sourcing, AI-powered analytics and automation engines, and project implementation services to improve billing accuracy, denial recovery, cash flow, and operational performance. JTS positions itself as a B2B partner focused on measurable financial and operational transformation across rural, community, teaching, and enterprise healthcare organizations.
Revenue Cycle A/R Specialist – Hospital
Job not on LinkedIn
🕒 January 9, 2025
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JTS Health Partners
51 - 200 employees
Founded 2002
🤝 B2B
💳 Fintech
🤖 Artificial Intelligence
B2B • Fintech • Artificial Intelligence
JTS Health Partners is a healthcare management consulting and professional services firm that helps hospitals, health systems, and physician practices optimize revenue cycle management, health information management, health information technology, analytics, and financial technology. The company provides consulting, interim management, staffing, outsourcing/co-sourcing, AI-powered analytics and automation engines, and project implementation services to improve billing accuracy, denial recovery, cash flow, and operational performance. JTS positions itself as a B2B partner focused on measurable financial and operational transformation across rural, community, teaching, and enterprise healthcare organizations.
📋 Description
• Analyze and review aged accounts to final resolution • Work within payer portals, such as Availity, Optum, MMIS and Medicare Contractors • Understand payor contracts and can apply calculations to resolve under/overpayments • Knowledge of medical terminology such as CPT, HCPCS, APC, ASC, DRG and ICD10 • Understand and ability to apply EOB • Submit reconsiderations and appeals related to denials using payor documentation and portals • Interact with third party payors and patients to resolve account balances • Ability to submit corrected claims billing • Review, research, and resolve claim rejections to resolution • Use standard work processes in daily work activities to ensure performance goals • Perform other duties as assigned
🎯 Requirements
• Minimum of 5 years' experience in revenue cycle processes: Within a hospital setting (UB04 format) • Proficient to Expert level insurance follow up, denials management, credit balance resolution • Proficient to expert level knowledge of Cerner Community Works and/or MEDHOST • Expert level experience within DDE/ FISS • Expert level experience working RTP Claims • Proficient knowledge in Medicare Method II Billing, Coding & Follow Up • Demonstrate experience with reviewing outstanding balances to resolution (Medicare, Medicaid, and Commercial payors) • Exceptional time management and organizational skills • Ability to direct work with minimal supervision and ability to meet performance and quality goals • High school diploma or GED required • Execute and fulfill JTS’ Remote Staff Agreement to ensure Security and Privacy
🏖️ Benefits
• Work from home full-time • Enjoy the culture of working for a smaller company while receiving the comprehensive benefits provided by larger firms • Paid time off and holidays • 401(k) plan with generous match for all employees • Annual profit sharing for employees (paid 13 of last 14 years) • Dynamic work atmosphere where your contributions will make a real impact on the company’s success
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