PN Account Specialist
PN Account Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Location:
Calmont Operations BuildingDepartment:
CBO/PT Financial ServicesShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
The Account Specialist Insurance FollowUp & Denials Management is responsible for initial contact regarding outstanding claims for Cook Childrens Physician Network providers. Primary duties include; Claims work queue management navigating payor websites contacting claim representatives to determine the status of outstanding insurance claims initiation of the appeals process on behalf of CCPN providers maintenance of proper documentation of work performed; and at all times maintain a professional demeanor to assure that guests are treated in an appropriate professional and compassionate manner.
Education:
High School or equivalent required.
Three years experience in a business office setting is required.
Basic knowledge of coding and medical terminology with understanding of diversified health insurance plans managed care contracts denials and payor methodology a plus.
Medical terminology preferred.
About Cook Childrens:
Our notforprofit organization is comprised of a flagship medical center in Fort Worth Texas a new medical center in Prosper Texas a physician network home health company surgery centers health plan health services and health foundation. With more than 60 primary specialty and urgent care locations throughout Texas families can access our topranked specialty programs and network of services to meet the unique needs of their child. Cook Childrens is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.
At Cook Childrens were more than a health care systemwere your friends neighbors and even family members. And were parents too so we can see the world through your eyes. We see what youre going throughand how we can help you and your child get the best care and support possible.
Cook Childrens is an equal opportunity employer. As such Cook Childrens offers equal employment opportunities without regard to race color religion sex age national origin physical or mental disability pregnancy protected veteran status genetic information or any other protected class in accordance with applicable federal laws. These opportunities include terms conditions and privileges of employment including but not limited to hiring job placement training compensation discipline advancement and termination.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
