Pn Account Specialist Ii

Cook Children's Health Plan

Calmont, Texas, United States
3 years physician billing experience
Understanding managed care contracts
Extensive healthcare third party reimbursement knowledge
The Account Specialist II is responsible for all insurance follow-up responsibilities including the resolution of outstanding claims and initiation of the appeals process

Job Summary

  • The Account Specialist II is responsible for all insurance follow-up responsibilities including the resolution of outstanding claims and initiation of the appeals process.
  • This role requires providing timely financial and volume data related to claims adjudication and payment trend analyses to the manager.
  • Cook Children's is a not-for-profit organization dedicated to providing top-ranked specialty programs and compassionate care to children and families.

Matching Summary

The Account Specialist II is responsible for all insurance follow-up responsibilities including the resolution of outstanding claims and initiation of the appeals process.

Skills & Requirements

Must-have

  • 3 years physician billing experience
  • Understanding managed care contracts
  • Extensive healthcare third party reimbursement knowledge

Nice-to-have

  • Intermediate coding knowledge
  • Epic Resolute Professional Billing proficiency
  • Effective oral and written communication skills

Key Requirements

  • High School or equivalent required
  • At least 3 years in physician billing environment
  • Minimum rating of meets expectations on recent performance review

Work Rights

Not specified

Tailored Resume

Cover Letter