Account Specialist II

Cook Children's Health Care System • Fort Worth, TX

10d • Onsite

About The Position

Under the leadership of Patient Financial Services (PFS) management, the Account Specialist II is responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered by Cook Childrens Medical Center (CCMC). This positon requires extensive knowledge of Federal, State, and payor regulations, reimbursement methodologies, and communication with third party payers to facilitate timely and accurate reimbursement. Perform root cause analysis and resolution of denial and variance records. Triage and resolve payor denials. Review and adjudicate insurance credit balances.

Requirements

• High School Diploma or equivalent
• Minimum three years billing, insurance follow-up, or healthcare business office experience
• Understanding of Managed Care contracts, denials and payor methodology
• Extensive knowledge of healthcare third party reimbursement, variance and denial records
• Effective oral and written communication skills
• Keyboarding accuracy and math aptitude skills
• Must maintain primary residence within the state of Texas

Nice To Haves

• Bachelors preferred
• Medical terminology preferred
• Prior experience with Epic Hospital Billing Resolute preferred

Responsibilities

• Claim follow up
• Cash collection
• Denial management
• Perform root cause analysis and resolution of denial and variance records
• Triage and resolve payor denials
• Review and adjudicate insurance credit balances

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED