The Account Specialist, Insurance Follow-Up & Denials Management is responsible for initial contact regarding outstanding claims for Cook Children's Physician Network providers. Primary duties include managing claims work queues, navigating payer websites, contacting claim representatives to determine the status of outstanding insurance claims, initiating the appeals process on behalf of CCPN providers, and maintaining proper documentation of work performed.
The role also requires maintaining a professional demeanor to ensure guests are treated in an appropriate, professional, and compassionate manner.
Location: Calmont Operations Building
Department: CBO/PT Financial Services
Shift: First Shift (United States of America)
Standard Weekly Hours: 40
Education:
- High school diploma or equivalent required
Experience:
- 3 years of experience in a business office setting required
- Basic knowledge of coding and medical terminology preferred
- Understanding of diversified health insurance plans, managed care contracts, denials, and payer methodology preferred
- Proven track record of writing and submitting appeals to overturn claim denials
- Professional billing experience in a pediatric environment preferred
- Epic experience preferred
Additional Notes:
- Texas residency required throughout employment
Location
Fort Worth, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago