Account Specialist II
Share
Job Location:
Fort Worth, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Location:
Calmont Operations BuildingDepartment:
CBO/Patient Financial ServicesShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
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 position 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.
Qualifications:
High School Diploma or equivalent required - Bachelors preferred
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
Medical terminology preferred
Prior experience with Epic Hospital Billing Resolute preferred
About Us:
Cook Childrens Medical Center is the cornerstone of Cook Childrens and offers advanced technologies research and treatments surgery rehabilitation and ancillary services all designed to meet childrens needs.
Cook Childrens is an EOE/AA Minority/Female/Disability/Veteran employer.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Whether it's parenting issues or treating the most complex pediatric medical conditions, Cook Children's is here, helping families navigate childhood every step of the way.
