The Account Specialist II is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network including analysis and resolution of outstanding insurance claims
Job Summary
The Account Specialist II is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network including analysis and resolution of outstanding insurance claims.
This role requires maintaining professional and compassionate communication with patients, practice managers, and physicians to ensure effective collection of outstanding claims.
Cook Children's is a not-for-profit organization with multiple healthcare facilities and a commitment to providing top-ranked pediatric specialty programs and services.
Matching Summary
The Account Specialist II is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network including analysis and resolution of outstanding insurance claims.
Skills & Requirements
Must-have
insurance claims follow-up
denials management
reimbursement analysis
patient account adjustments
claims adjudication data analysis
communication with patients and providers
Nice-to-have
knowledge of medical terminology
experience with Epic Resolute Professional Billing
understanding of managed care contracts
effective oral and written communication skills
Key Requirements
High School diploma or equivalent
At least 3 years physician billing experience or 2 years as PN Account Specialist I
Intermediate knowledge of coding and medical terminology
Understanding of managed care contracts and payor methodology
Proficiency demonstrated by minimum rating of meets expectations
Preferred prior experience with Epic Resolute Professional Billing